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Illinois rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $13 · 10th–90th $1$620%5%10th90th$13Professionalmedian $1 · 10th–90th $1$40%10%20%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$1.45 / $12.88 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.41 / $3.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $4.27 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.10 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.29 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.29 / $14.79
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $1.10 / $1.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.72 / $0.81