go back

California rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $3 · 10th–90th $1$630%5%10th90th$3Professionalmedian $2 · 10th–90th $1$40%10%10th90th$2$0.2$2.0$20.0$200.0$2.0K

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
$1.48 / $5.62 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.70 / $3.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $70.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $0.79 / $1.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.74 / $2.04
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.62
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.93 / $2.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.17 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.78 / $2.00
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.05 / $1.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $1.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.76 / $1.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.76 / $1.95