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Louisiana rates for HCPCS J1212

Dimethyl Sulfoxide 50% 50 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.90 / $771.31 / $1,641.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $756.33 / $898.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.17 / $53.22 / $1,179.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.19 / $786.19 / $801.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $524.23 / $524.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.46 / $706.46 / $748.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.33 / $748.85 / $875.68