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Hawaii rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $23 · 10th–90th $3–$300%10%20%10th90th$23Professionalmedian $1 · 10th–90th $1–$310%10%20%10th90th$1$1.0$2.0$5.0$10.0$20.0

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
$3.09 / $22.91 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.29 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.87
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.81 / $0.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $1.07