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North Dakota rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $8.69 / $67.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $19.00 / $39.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.00 / $1.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.85 / $0.92