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New Jersey rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $10.91 / $18.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $9.58 / $12.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $9.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.52