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Massachusetts 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
$71.52 / $71.52 / $143.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $74.38 / $98.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.73 / $191.67 / $407.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $181.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.73 / $91.26 / $194.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.95 / $113.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $148.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.00 / $228.00 / $407.85
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $181.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.37 / $71.52 / $181.61