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Minnesota rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $24.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $17.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $9.08 / $17.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $7.74 / $8.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $26.99 / $32.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $9.94 / $10.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $24.63 / $30.92
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $11.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $17.45 / $41.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $13.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $11.13