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Iowa 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
$98.43 / $98.43 / $161.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $98.43 / $209.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $83.15 / $94.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.54 / $71.52 / $284.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.63 / $98.43 / $129.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.39 / $73.39 / $132.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.25 / $88.75 / $109.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.08 / $100.37 / $184.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $73.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.39 / $73.39 / $73.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.39 / $73.39 / $73.39