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Massachusetts rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $8.59 / $10.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.38 / $9.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $7.09 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $13.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $7.83 / $16.70
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 / $6.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $13.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $13.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $13.40