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Arizona rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $12.25 / $18.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $9.36 / $17.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.19 / $23.86 / $43.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $7.50 / $39.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $9.36 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14