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North Dakota rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $831.76