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Wisconsin rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $37 · 10th–90th $3$830%10%20%10th90th$37Professionalmedian $2 · 10th–90th $1$40%10%20%10th90th$2$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $37.15 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.82 / $4.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.82 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.89 / $1.32
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.76 / $1.41
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $1.51 / $1.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $32.36 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.00 / $1.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $1.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.89 / $2.19
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.93 / $1.15
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
$0.71 / $0.79 / $1.05