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Arkansas rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.37 / $8.90 / $141.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.82 / $9.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $8.40 / $8.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $8.40 / $8.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $6.14 / $7.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.14 / $13.40