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Wyoming rates for HCPCS J1200

Injection, diphenhydramine HCl, up to 50 mg

Facilitymedian $11 · 10th–90th $3–$660%20%10th90th$11Professionalmedian $1 · 10th–90th $1–$320%20%40%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$3.72 / $11.48 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $31.62 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.41 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.98 / $0.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.71 / $0.79