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Oklahoma rates for HCPCS J1240

Dimenhydrinate Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.63 / $8.36 / $14.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $6.63 / $6.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $6.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $6.14 / $6.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $8.77 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $7.74 / $8.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14