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Rhode Island rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,433.76 / $2,433.76 / $2,433.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $778.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.90 / $742.90 / $784.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.46 / $748.84 / $748.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $748.85 / $748.85