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Rhode Island rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $5 · 10th–90th $1–$250%10%10th90th$5Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $5.50 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.95 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.76 / $2.04