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Washington, DC rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $21.83 / $29.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $13.15 / $22.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $6.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $5.22 / $6.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $6.14 / $9.94