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Idaho rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $10 · 10th–90th $1–$490%10%10th90th$10Professionalmedian $1 · 10th–90th $1–$30%20%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$4.47 / $9.77 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.48 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.62 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.10 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.78 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $6.61 / $66.07
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.85 / $2.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.85
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $1.07