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Oklahoma rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $2 · 10th–90th $1–$200%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$80%20%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$1.38 / $1.70 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $20.42 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.71 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.76 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $8.32