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Iowa rates for HCPCS J1240

Dimenhydrinate Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $15.77 / $17.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.82 / $15.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.64 / $10.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.70 / $22.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $10.02 / $15.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $7.74 / $13.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $9.82 / $11.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $9.82 / $15.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74