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Kentucky rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.90 / $748.85 / $1,273.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $750.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.75 / $883.08 / $1,497.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.52 / $748.85 / $748.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.85 / $813.73 / $1,198.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $823.74 / $1,153.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.33 / $748.84 / $748.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.79 / $748.84 / $1,332.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85