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Maryland rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.55 / $12.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.91 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $8.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71