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Nebraska rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.90 / $766.22 / $1,655.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.72 / $748.85 / $1,665.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.83 / $805.38 / $847.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.98 / $832.62 / $847.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.21 / $748.84 / $910.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.99 / $742.89 / $3,573.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.61 / $742.90 / $817.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.64 / $1,073.08 / $1,430.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.41 / $823.65 / $1,572.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.41 / $748.85 / $823.74