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Indiana rates for HCPCS J1240

Dimenhydrinate Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $19.92 / $35.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.20 / $7.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.45 / $12.28 / $18.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $6.14 / $8.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $9.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.68
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 / $22.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $10.44