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Utah rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.76 / $868.66 / $868.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $868.66 / $868.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.88 / $995.53 / $1,086.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.01 / $1,426.46 / $2,047.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85