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South Carolina rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $32 · 10th–90th $5–$830%10%10th90th$32Professionalmedian $2 · 10th–90th $1–$270%10%20%10th90th$2$0.1$0.5$2.0$10.0$50.0$200.0

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
$6.17 / $32.36 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.82 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $6.92 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.72 / $1.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.98 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.00 / $2.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.76 / $0.87