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Texas rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $13.87 / $19.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.20 / $10.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $24.27 / $49.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $13.53 / $13.53
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $7.74 / $9.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $6.14 / $15.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $6.14 / $8.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $6.14 / $11.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $8.28 / $8.67