go back

Washington, DC 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
$1.77 / $4.04 / $8.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.42 / $2.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.81 / $1.12