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North Carolina rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $8.98 / $14.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $7.24 / $13.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $13.44 / $18.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $6.88 / $7.74
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 / $15.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.31 / $17.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $8.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00