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Vermont rates for HCPCS J1212

Dimethyl Sulfoxide 50% 50 Ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $1,276.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.75 / $847.75 / $847.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.46 / $809.12 / $1,348.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.46 / $809.12 / $1,348.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.41 / $748.85 / $1,151.96