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New Hampshire 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 / $82.20 / $146.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $73.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.50 / $107.28 / $294.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $73.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $71.52 / $71.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.04 / $116.15 / $220.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.96 / $107.20 / $157.58