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Oregon rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.82 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.12 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $12.30 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $12.88 / $15.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.00 / $3.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.10 / $4.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $7.76 / $14.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $12.30 / $25.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.76 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.07