go back

Kentucky rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $10.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $7.24 / $7.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $6.14 / $6.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.69 / $9.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.75 / $9.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.93 / $15.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14