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Missouri 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 / $114.00 / $133.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $73.39 / $114.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.95 / $121.58 / $188.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $89.40
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.20 / $121.27 / $407.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $73.39 / $84.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.79 / $71.52 / $87.47