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Pennsylvania rates for HCPCS J1212

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

Facilitymedian $1,380 · 10th–90th $741$2,2910%20%10th90th$1,380Professionalmedian $741 · 10th–90th $631$1,1220%50%10th90th$741$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,445.44 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $1,122.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $812.83 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,630.27 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,288.25 / $1,288.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $602.56 / $831.76
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,122.02 / $1,995.26
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $870.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $870.96 / $933.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $870.96 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $1,023.29