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South Carolina rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.27 / $786.29 / $3,153.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.70 / $786.29 / $1,028.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.27 / $182.72 / $798.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $875.68 / $1,024.05
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.83 / $786.29 / $1,818.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.98 / $1,113.98 / $1,113.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $1,610.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85