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Idaho rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.90 / $742.90 / $854.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.90 / $823.73 / $936.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.46 / $748.84 / $748.84
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
$44.00 / $936.06 / $1,338.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $936.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.72 / $714.72 / $714.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.77 / $1,059.26 / $1,774.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.61 / $898.61 / $936.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.78 / $748.85 / $748.85