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Nebraska rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $7.74 / $13.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $7.74 / $17.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.21 / $6.84 / $6.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $6.95 / $8.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $8.51 / $10.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $20.05 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $7.74 / $8.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.21 / $9.82 / $10.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.27 / $9.82 / $17.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.14 / $6.75