go back

Tennessee rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.74 / $748.85 / $1,537.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $898.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.98 / $833.98 / $833.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.71 / $3,573.60 / $3,744.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85