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Texas 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
$71.52 / $129.71 / $177.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $72.23 / $118.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.03 / $214.22 / $427.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.75 / $76.75 / $76.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.33 / $59.33 / $59.33
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.00 / $407.85 / $407.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.23 / $102.27 / $105.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.04 / $71.52 / $132.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $71.52 / $103.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $71.52 / $129.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $73.03 / $96.55