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Oregon rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $8 · 10th–90th $1–$150%10%10th90th$8Professionalmedian $8 · 10th–90th $1–$250%10%20%10th90th$8$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
$1.00 / $1.82 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.70 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $12.30 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $8.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $14.45 / $22.91
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $8.13 / $9.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $8.13 / $9.55
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $13.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $12.30 / $25.70
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.76 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $1.07