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Minnesota rates for HCPCS J1200

Injection Diphenhydramine Hcl Up To 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $36.86 / $145.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.18 / $3.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.00 / $1.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.88 / $0.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $2.39 / $2.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.86 / $0.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.18 / $2.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $28.07 / $47.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.00 / $1.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.85 / $1.45