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Nebraska rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $30 · 10th–90th $1–$1350%5%10%10th90th$30Professionalmedian $2 · 10th–90th $1–$20%10%20%10th90th$2$1.0$5.0$20.0$100.0$500.0

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
$1.35 / $33.11 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.51 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.78 / $0.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.79 / $0.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.71 / $0.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $28.18 / $77.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.89 / $1.07
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.81 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.71 / $1.07