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West Virginia rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $3 · 10th–90th $1–$110%5%10th90th$3Professionalmedian $2 · 10th–90th $1–$20%10%20%10th90th$2$0.5$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
$1.15 / $2.57 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.86 / $2.45
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.12 / $1.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $1.02 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $3.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $3.02 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.76 / $1.74