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Missouri rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $16 · 10th–90th $9$510%20%10th90th$16Professionalmedian $8 · 10th–90th $1$220%20%10th90th$8$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.60 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.55 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $13.18 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $14.45 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $15.85 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.76 / $9.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $11.22 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $0.91 / $8.32