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Vermont rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $7 · 10th–90th $1–$90%20%40%10th90th$7Professionalmedian $1 · 10th–90th $1–$320%20%40%10th90th$1$1.0$2.0$5.0$10.0$20.0$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
$3.24 / $7.08 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $31.62 / $31.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.85 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.76 / $0.95