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North Carolina 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
$72.51 / $121.00 / $178.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $72.51 / $149.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.93 / $89.45 / $212.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.45 / $75.45 / $91.16
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 / $114.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.51 / $85.11 / $125.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.28 / $92.28 / $92.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $110.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.00 / $228.00 / $407.85