go back

Idaho rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $5.89 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.10 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.00 / $1.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.48