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Oklahoma rates for HCPCS J1200

Injection Diphenhydramine Hcl Up To 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $13.20 / $61.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.82 / $0.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.88 / $1.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $7.15 / $59.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.90 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.85