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Diphenhydramine Injection

Utah rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $3$340%20%10th90th$19Professionalmedian $1 · 10th–90th $1$20%20%10th90th$1$1.0$5.0$20.0$100.0$500.0$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
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$19.50
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.45
Typical High
$2.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$0.93
Typical High
$1.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.69
Median
$0.69
Typical High
$0.69
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$0.76
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.69
Median
$1.20
Typical High
$1.20
United
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$0.71
Typical High
$0.79