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Pennsylvania rates for HCPCS J7320

Hyaluronan Or Derivitive Genvisc 850 For Intra-Articular Injection 1 Mg (Reinstated 01/01/2017) Hylan G-F 20 16 Mg For Intra Articular Injection(Del 12/31/2006)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $14.09 / $18.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.83 / $7.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $6.26 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $5.99 / $5.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $5.77 / $5.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.77 / $5.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $14.09 / $18.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $6.08 / $18.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $5.77 / $5.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.77 / $5.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.09 / $8.09 / $9.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $9.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.77 / $10.56