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Connecticut rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $10.01 / $16.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $10.28 / $20.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.37 / $6.66 / $7.68
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $6.14 / $14.51