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Virginia rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $44.78 / $152.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.72 / $8.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $8.48 / $12.80
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $8.82 / $12.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $11.87 / $19.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $8.89 / $14.03
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $8.89 / $14.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $7.35 / $9.22