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Louisiana rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $8 · 10th–90th $1–$420%10%10th90th$8Professionalmedian $1 · 10th–90th $1–$120%20%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K

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
$1.78 / $8.51 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.15 / $12.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.83
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.35 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.71 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.71 / $1.00