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Kentucky 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
$0.84 / $5.24 / $49.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.89 / $0.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.76 / $0.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.84 / $1.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.80 / $1.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.90 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.85