go back

California rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.95 / $3.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.58 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.14 / $7.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $6.31 / $17.78
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $15.14 / $19.05
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.29 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.00 / $14.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $11.75 / $18.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $10.47
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $3.47