go back

Maine rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.24 / $14.24 / $15.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.82 / $9.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.98 / $18.98 / $18.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.24 / $14.24 / $15.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $9.36 / $15.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $9.21