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Utah 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
$82.97 / $82.97 / $85.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.97 / $82.97 / $82.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.42 / $105.56 / $110.91
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