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Kansas rates for HCPCS J1200

Injection Diphenhydramine Hcl Up To 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $20.98 / $96.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.06 / $1.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.04 / $2.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.47 / $25.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.95 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.81 / $1.45