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Pennsylvania rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $3 · 10th–90th $1–$200%10%10th90th$3Professionalmedian $2 · 10th–90th $1–$220%20%10th90th$2$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$1.41 / $2.82 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.34 / $25.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.00 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $26.92 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.49 / $13.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $15.14 / $52.48
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $11.22 / $14.79
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $11.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.13 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $1.70