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Oregon 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
$1.32 / $6.36 / $76.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.12 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.04 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $2.11 / $2.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.56 / $55.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.77 / $0.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.99 / $1.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.09 / $1.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.91 / $1.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.85