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Arkansas rates for HCPCS J7321

Hyaluronan Or Derivative Hyalgan Supartz Or Visco-3 For Intra-Articular Injection Per Dose (Desc Rvsd 4/1/21)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.40 / $85.83 / $104.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $72.23 / $85.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.61 / $79.61 / $79.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.75 / $79.61 / $79.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $71.52 / $78.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $181.61