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Michigan rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $5 · 10th–90th $2–$150%5%10th90th$5Professionalmedian $1 · 10th–90th $1–$30%10%10th90th$1$0.2$1.0$5.0$20.0$100.0

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
$2.04 / $4.90 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.41 / $3.39
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.58 / $3.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.95 / $0.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $5.50 / $19.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $1.00 / $2.29
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.95 / $0.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $1.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.79 / $0.93