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California rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $13.51 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.82 / $17.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.51 / $7.82 / $9.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $7.74 / $18.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.88 / $19.93
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $6.66 / $18.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $6.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $7.37 / $15.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $6.14 / $8.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $13.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $11.66 / $11.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $14.34