| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.52 | $171.09 | $171.09 | |
Cigna
| Professional | $71.52 | $71.52 | $71.52 | |
United
| Professional | $71.52 | $107.28 | $209.39 |
Hyaluronan Or Derivative Hyalgan Supartz Or Visco-3 For Intra-Articular Injection Per Dose (Desc Rvsd 4/1/21)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.52 | $171.09 | $171.09 | |
Cigna
| Professional | $71.52 | $71.52 | $71.52 | |
United
| Professional | $71.52 | $107.28 | $209.39 |