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Rhode Island 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
$232.44 / $232.44 / $232.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $72.23 / $74.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.39 / $73.39 / $96.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52