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Montana rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $10 · 10th–90th $9–$410%20%40%10th90th$10Professionalmedian $1 · 10th–90th $1–$250%20%40%10th90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.02 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $9.55
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $9.33 / $26.92
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $9.33 / $26.92
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $20.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.96 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91