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Virginia rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $9 · 10th–90th $2–$630%5%10th90th$9Professionalmedian $1 · 10th–90th $1–$20%10%20%10th90th$1$0.5$2.0$10.0$50.0

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
$2.00 / $9.33 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.35 / $2.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $1.15
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.41 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.29 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.71 / $1.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.23 / $1.62
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.83 / $1.35
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.83 / $1.35
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 / $0.91