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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
$2.69 / $3.47 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $9.12 / $9.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $12.02 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.91 / $0.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.48