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Nebraska rates for HCPCS J7321

Hyaluronan or derivative, Hyalgan, Supartz or Visco-3, for intra-articular injection, per dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $114.82 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $102.33 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $83.18 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $79.43 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $138.04 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $114.82 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $74.13 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $72.44 / $109.65