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Wyoming rates for HCPCS J1212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.90 / $742.90 / $742.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.90 / $742.90 / $748.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.33 / $875.68 / $875.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.46 / $706.46 / $706.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $1,059.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.85 / $748.85 / $748.85