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Washington rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.73 / $1,275.42 / $1,545.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $823.73 / $1,075.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.52 / $1,059.26 / $2,047.89
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $755.88 / $875.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.46 / $706.46 / $1,734.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $918.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.89 / $886.26 / $1,557.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.74 / $1,089.31 / $1,906.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.90 / $776.13 / $833.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.52 / $847.40 / $1,572.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.84 / $748.84 / $748.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85