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Idaho rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $7.74 / $8.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $7.67 / $9.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $6.14 / $6.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $7.67 / $10.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $7.37 / $7.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $8.60