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Ohio rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $10.99 / $21.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.82 / $17.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.21 / $14.37 / $39.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $10.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $10.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $8.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $6.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $18.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.21 / $50.65 / $53.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $18.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $9.18 / $11.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.99