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New Jersey rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $3 · 10th–90th $1–$230%5%10%10th90th$3Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$1.12 / $3.16 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.55 / $2.29
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $31.62 / $158.49
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.87 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $1.41
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $11,481.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.58 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.78 / $0.81