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Washington rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $13.54 / $18.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.82 / $10.34
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $10.23 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $9.41 / $13.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $16.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $7.98 / $16.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $11.49 / $11.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $9.41 / $13.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Regence BlueShield
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