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Illinois rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.90 / $1,138.38 / $1,938.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.84 / $748.85 / $919.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.40 / $417.17 / $7,917.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $786.29 / $1,163.83
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.51 / $973.51 / $973.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $1,684.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $794.53