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Delaware 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
$6.39 / $22.19 / $54.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.70 / $2.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $11.04 / $21.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.58 / $1.93