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Missouri rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $758.58 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $794.33 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $891.25 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $870.96 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $741.31 / $851.14