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Oklahoma rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $20.42 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.00 / $1.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $64.57 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.81 / $1.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $7.08 / $58.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.89 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.71 / $0.79