go back

Missouri rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $24.00 / $164.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.49 / $15.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $12.50 / $19.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $9.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $6.93 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $25.74 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $6.17 / $7.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.35 / $9.17