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Florida 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
$3.45 / $23.80 / $73.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.98 / $48.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.82
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.80 / $0.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.81 / $1.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.90 / $0.90