go back

Pennsylvania rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $4 · 10th–90th $2$250%5%10%10th90th$4Professionalmedian $2 · 10th–90th $1$30%10%20%10th90th$2$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$1.58 / $3.98 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.51 / $2.95
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $100.00 / $213.80
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.78 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.74 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $2.40 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.20 / $1.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $6.03 / $9.77
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.87 / $208.93
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.82 / $38.02
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.26 / $1.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.35 / $1.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.45 / $1.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.79 / $1.29