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California rates for HCPCS J1200

Injection Diphenhydramine Hcl Up To 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $7.22 / $78.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.32 / $3.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.92 / $1.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.90 / $2.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.24 / $2.13
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $2.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.91 / $1.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.76 / $1.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.64
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.83 / $1.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.81 / $1.85