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Diphenhydramine Injection

Montana rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $1$790%10%10th90th$10Professionalmedian $1 · 10th–90th $1$20%10%20%10th90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$26.92
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$1.12
Typical High
$2.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.69
Median
$2.14
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$2.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.69
Median
$0.69
Typical High
$0.76
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$0.89
Typical High
$2.45
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$0.89
Typical High
$2.45
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$2.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.69
Median
$79.43
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$0.71
Typical High
$0.71