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Arizona rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $758.58 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,995.26 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,445.44 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $891.25 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $741.31 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $741.31