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Iowa rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $6 · 10th–90th $1–$870%10%10th90th$6Professionalmedian $1 · 10th–90th $1–$40%10%20%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K

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
$1.23 / $15.14 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.51 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.89 / $0.89
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.32 / $3.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $23.44 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.95 / $1.58
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $1.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.72 / $0.83
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.76