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North Carolina 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
$1.67 / $9.99 / $73.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.21 / $2.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.65 / $2.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.12 / $1.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.81 / $1.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00