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Arizona rates for HCPCS J7321

Hyaluronan or derivative, Hyalgan, Supartz or Visco-3, for intra-articular injection, per dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $134.90 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $79.43 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $204.17 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $141.25 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $114.82 / $229.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $123.03 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $74.13