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Tennessee rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.38 / $1.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.09 / $13.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $8.13 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $9.55