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California rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $6 · 10th–90th $1$160%5%10%10th90th$6Professionalmedian $2 · 10th–90th $1$220%10%10th90th$2$1.0$5.0$20.0$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
$1.66 / $1.95 / $3.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.58 / $22.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $8.32 / $11.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.10 / $10.00
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $19.05
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.35 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.58 / $18.62
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $11.75 / $18.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $11.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $14.45