go back

Louisiana rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.82 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.48 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.23 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $8.32