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Ohio rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $30.13 / $91.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $7.42 / $13.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $17.20 / $47.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $12.39
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.85 / $9.85 / $9.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $7.35 / $10.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.35 / $9.92
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 / $19.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $24.83 / $79.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $19.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $8.10 / $10.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $9.57