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Georgia rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $13 · 10th–90th $1–$580%5%10%10th90th$13Professionalmedian $1 · 10th–90th $1–$20%10%20%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $14.45 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.29 / $2.29
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $75.86 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $3.47 / $3.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.79
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.26 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $1.32 / $1.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.29 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.76 / $1.00