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New Mexico rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $16 · 10th–90th $2–$320%10%10th90th$16Professionalmedian $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
$2.00 / $15.85 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.17 / $3.39
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.12 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.85 / $1.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.71 / $0.71