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Kansas rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $14 · 10th–90th $2–$890%5%10th90th$14Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.86 / $16.60 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.32 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.83 / $0.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.12 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.48 / $25.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.95 / $1.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.69 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.74 / $1.35