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Washington rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $4 · 10th–90th $1$780%5%10%10th90th$4Professionalmedian $2 · 10th–90th $1$40%10%20%10th90th$2$0.5$5.0$50.0$500.0$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
$1.41 / $4.57 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.82 / $3.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $95.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $1.58
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.17 / $1.17
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.07 / $1.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $1.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.71 / $0.79
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.71 / $0.89