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South Carolina 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
$38.01 / $75.09 / $311.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $75.09 / $114.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.56 / $200.68 / $403.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.38 / $114.00 / $124.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $67.47 / $71.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $101.39 / $185.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $73.67