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Arizona 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
$76.53 / $143.04 / $214.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $88.80 / $209.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.43 / $254.51 / $420.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.84 / $71.04 / $454.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.48 / $115.44 / $228.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.39 / $73.39 / $73.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52