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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
$1.45 / $2.69 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $2.57 / $9.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.45 / $3.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.32 / $9.55
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.91 / $14.45