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Maine rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $6 · 10th–90th $2$280%10%10th90th$6Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K

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 / $6.03 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.12 / $31.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Community Health Options
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.83
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $2.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.71 / $1.02