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Texas rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $6 · 10th–90th $2$480%5%10%10th90th$6Professionalmedian $1 · 10th–90th $0$20%10%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$1.86 / $6.61 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.45 / $2.45
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.74 / $3.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.39
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $5.75 / $50.12
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $1.12 / $1.51
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $1.66 / $4.68
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $7.24 / $50.12
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.29 / $2.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.98 / $2.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $1.10 / $1.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.76 / $0.79