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Illinois 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
$72.44 / $125.89 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $75.86 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $316.23 / $933.25
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $114.82 / $309.03
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $123.03 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $79.43