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Diphenhydramine Injection

Wisconsin rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $2$1000%10%20%10th90th$35Professionalmedian $1 · 10th–90th $1$70%20%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
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$35.48
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$1.82
Typical High
$20.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$0.85
Typical High
$0.85
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.69
Median
$0.69
Typical High
$0.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.70
Typical High
$2.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.69
Median
$1.12
Typical High
$1.32
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$0.66
Median
$0.76
Typical High
$1.41
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$0.54
Median
$1.51
Typical High
$1.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$32.36
Typical High
$60.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.00
Typical High
$1.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$0.85
Typical High
$1.74
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$0.66
Median
$0.76
Typical High
$1.41
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$0.54
Median
$1.51
Typical High
$1.51
Quartz
Setting
Professional
Modifier
Global
Typical Low
$0.69
Median
$1.07
Typical High
$2.19
Quartz
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$2.09
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$0.69
Median
$0.69
Typical High
$1.45
Security Health
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$1.00
Typical High
$1.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.69
Median
$0.69
Typical High
$1.66
United
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$0.79
Typical High
$1.05