go back

Oregon rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.90 / $886.26 / $1,497.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $756.33 / $1,075.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.46 / $1,012.35 / $1,429.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $812.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.60 / $1,631.37 / $1,889.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.12 / $963.25 / $1,610.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $793.78 / $973.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.89 / $861.88 / $1,557.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.46 / $1,012.35 / $1,610.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.44 / $812.43 / $894.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.41 / $1,102.27 / $2,210.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.12 / $1,535.12 / $1,797.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85