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Kansas rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.90 / $15.77 / $169.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.63 / $15.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.58 / $10.52 / $11.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $6.64 / $6.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $6.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $10.84 / $13.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $12.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $12.62