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Ohio rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $8 · 10th–90th $1–$560%10%10th90th$8Professionalmedian $3 · 10th–90th $1–$100%10%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $2.34 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.17 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $16.60 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.13 / $13.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $16.22 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.91 / $52.48
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $18.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.32 / $8.51
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.88 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $17.78 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $5.37