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Texas rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $15 · 10th–90th $2–$370%5%10%10th90th$15Professionalmedian $2 · 10th–90th $1–$130%10%20%10th90th$2$0.5$2.0$10.0$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
$1.45 / $12.88 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.48 / $5.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $23.99 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $18.62 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.86 / $17.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.55 / $9.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $8.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $8.71 / $23.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $8.32