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Arkansas rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $7 · 10th–90th $1–$270%5%10%10th90th$7Professionalmedian $1 · 10th–90th $1–$150%10%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $7.94 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.35 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $0.98 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.76 / $1.74