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Maryland rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $4 · 10th–90th $1–$90%10%10th90th$4Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$0.83 / $4.47 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.41 / $2.04
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.71 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.71 / $1.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.79 / $0.93
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71