go back

Maryland rates for HCPCS J1240

Dimenhydrinate Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $10.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $14.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67