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New Hampshire rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $3 · 10th–90th $1–$130%5%10%10th90th$3Professionalmedian $1 · 10th–90th $1–$40%10%20%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.41 / $3.47 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $2.82 / $31.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.45 / $2.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.35 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $1.15 / $1.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.71 / $1.07