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New York rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.62 / $2.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.57 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.02
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.41
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $26.30
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $9.55 / $26.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $14.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.46
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $8.32
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $7.24
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.17 / $7.41