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Missouri rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $16.60 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.57 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.55 / $2.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $6.17 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $15.85 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.76 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $11.22 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.91 / $8.32