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Nebraska 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 / $98.43 / $158.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $103.70 / $209.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.73 / $80.97 / $80.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.92 / $80.15 / $83.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $75.34 / $94.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.43 / $163.74 / $407.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $73.39 / $110.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.63 / $94.49 / $108.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $100.44 / $196.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.37 / $71.52 / $78.67