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Alaska rates for HCPCS J1212

Injection, DMSO, dimethyl sulfoxide, 50%, 50 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.73 / $1,367.96 / $4,836.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.32 / $1,392.85 / $1,731.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.78 / $1,991.78 / $1,991.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $2,411.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.83 / $1,167.57 / $1,834.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.92 / $1,667.96 / $2,752.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $812.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $1,123.28 / $1,510.58