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Minnesota rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $29 · 10th–90th $1–$810%5%10%10th90th$29Professionalmedian $1 · 10th–90th $1–$30%20%10th90th$1$0.5$2.0$10.0$50.0$200.0

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
$18.20 / $38.02 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.70 / $13.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $1.45 / $1.45
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.71 / $0.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $2.51 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.83 / $0.89
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.29 / $2.69
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $28.84 / $50.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.00 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.79 / $1.58