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Illinois rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $2 · 10th–90th $1$420%20%10th90th$2Professionalmedian $2 · 10th–90th $1$160%10%20%10th90th$2$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.70 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.62 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $39.81 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $14.45 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $8.71 / $28.84
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $8.32