go back

Louisiana rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $8.13 / $17.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.32 / $9.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $5.23 / $13.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $9.19 / $9.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $12.83