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Maryland 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 / $73.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $72.23 / $88.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $73.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $91.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $192.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $75.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $73.03 / $73.03