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Missouri rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $10 · 10th–90th $2–$720%5%10%10th90th$10Professionalmedian $2 · 10th–90th $1–$60%10%20%10th90th$2$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$1.58 / $9.77 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.82 / $12.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.72 / $1.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.29 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $5.13 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.89 / $1.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $1.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.71 / $1.02