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Connecticut 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
$1.09 / $3.17 / $9.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.27 / $2.36
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
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.82 / $0.94
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.89 / $4.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.84 / $1.81