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Pennsylvania 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
$38.79 / $150.13 / $425.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $77.73 / $209.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.95 / $77.59 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.22 / $74.22 / $74.22
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.12 / $150.13 / $223.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $88.80 / $223.11
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $71.52 / $71.52
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.68 / $78.68 / $91.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $78.68 / $91.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $130.88