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South Dakota rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $41 · 10th–90th $11–$1380%5%10th90th$41Professionalmedian $1 · 10th–90th $1–$110%10%20%10th90th$1$1.0$5.0$20.0$100.0

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
$16.22 / $41.69 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.82 / $13.49
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.68 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $91.20 / $257.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $1.00 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.72 / $0.95
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.76