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Georgia rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.41 / $1.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.20 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.00 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $6.46 / $6.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $16.22 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $14.45