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Wisconsin rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Facilitymedian $3 · 10th–90th $1–$200%10%10th90th$3Professionalmedian $8 · 10th–90th $2–$150%20%40%10th90th$8$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$1.38 / $1.82 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.75 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $20.42 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.48 / $7.76
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $13.49
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $12.30 / $12.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $7.76 / $30.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $12.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.32 / $19.05
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.47 / $12.88
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 / $1.95