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Wyoming rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91