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Minnesota rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.85 / $748.85 / $1,394.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.90 / $748.85 / $1,028.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.65 / $861.17 / $1,476.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.32 / $742.90 / $742.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.09 / $2,323.30 / $2,828.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.49 / $855.84 / $924.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.53 / $2,120.16 / $2,660.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.21 / $728.21 / $990.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.86 / $742.89 / $1,255.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.90 / $742.90 / $1,025.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $1,357.52