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Virginia rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $2.04 / $2.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.07 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $12.02 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.91 / $15.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $12.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.12 / $15.14
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.12 / $15.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.91 / $1.15