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Illinois rates for HCPCS J1240

Dimenhydrinate Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $9.94 / $25.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.38 / $9.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $41.83 / $140.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $7.98 / $26.24
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $11.05