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Tennessee rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $8 · 10th–90th $1–$870%5%10%10th90th$8Professionalmedian $2 · 10th–90th $1–$40%10%20%10th90th$2$0.2$2.0$20.0$200.0$2.0K

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
$1.15 / $7.94 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.51 / $4.47
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.72 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.07 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.76 / $1.74