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Idaho 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
$73.39 / $73.39 / $111.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $78.68 / $89.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $71.52 / $71.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.68 / $94.76 / $127.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $89.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.24 / $98.24 / $120.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.83 / $85.83 / $89.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $114.43