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Colorado 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
$1.70 / $9.28 / $91.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.09 / $2.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $1.37 / $2.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $1.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.09 / $1.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.83 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76