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Utah rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $7.12 / $8.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.12 / $7.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $11.91 / $13.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14