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Hawaii rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.08 / $1,273.08 / $1,273.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.10 / $1,028.39 / $1,043.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.08 / $1,273.08 / $1,273.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.47 / $1,044.47 / $1,232.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.73 / $898.61 / $1,048.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $858.47 / $1,123.28
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $714.72 / $865.62