go back

Washington rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $2 · 10th–90th $2$130%20%10th90th$2Professionalmedian $1 · 10th–90th $1$250%20%40%10th90th$1$1.0$2.0$5.0$10.0$20.0$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
$1.58 / $1.91 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.02 / $25.12
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $9.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $7.76 / $14.79
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $13.18 / $13.18
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.12 / $9.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Regence BlueShield
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
$8.32 / $8.32 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $8.32
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $7.76 / $10.00