go back

Louisiana 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
$72.23 / $77.06 / $183.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $72.23 / $88.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.56 / $105.08 / $120.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $81.36 / $82.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $59.33 / $59.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $67.47 / $71.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $121.94