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Rhode Island rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.96 / $19.96 / $19.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $7.74 / $13.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $6.14 / $6.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $6.14 / $6.14