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North Carolina rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $10 · 10th–90th $2$760%10%10th90th$10Professionalmedian $2 · 10th–90th $1$280%20%10th90th$2$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$1.78 / $10.00 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.70 / $28.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.05 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.81 / $1.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $1.10 / $1.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.76 / $1.10
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00