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Arkansas rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.74 / $891.47 / $898.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $861.17 / $898.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.97 / $805.97 / $805.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.69 / $805.97 / $805.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.79 / $706.46 / $748.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.41 / $748.85 / $748.85