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Virginia rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.85 / $786.29 / $1,911.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $786.29 / $786.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.85 / $1,580.07 / $2,546.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.99 / $1,099.23 / $1,658.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.46 / $706.46 / $748.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.52 / $875.68 / $898.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $766.22 / $1,053.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $99.00 / $99.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.42 / $748.85 / $958.53
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.42 / $748.85 / $958.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $2,715.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.76 / $748.85 / $939.81