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North Carolina rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.09 / $744.33 / $1,229.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.11 / $638.70 / $900.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.54 / $270.64 / $1,614.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.34 / $549.34 / $742.90
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 / $875.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.70 / $891.13 / $963.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.72 / $69.72 / $69.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $973.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.11 / $996.11 / $3,744.25