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Ohio rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $4 · 10th–90th $1$300%5%10%10th90th$4Professionalmedian $1 · 10th–90th $1$40%10%20%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$1.45 / $3.89 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.62 / $4.47
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $75.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.48 / $4.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.79 / $1.29
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.45 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.95
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $3.55 / $21.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $1.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.87 / $1.07
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $1.15 / $1.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $1.41 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.79 / $0.87