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Virginia 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 / $84.15 / $167.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $75.09 / $158.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.25 / $117.50 / $177.31
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.79 / $85.82 / $213.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $98.43 / $146.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $105.00 / $105.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.94 / $86.54 / $105.13
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.94 / $86.54 / $105.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $71.52 / $89.76