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Vermont 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
Professional
Modifier
Low / Median / High Price
$71.52 / $79.45 / $126.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.97 / $80.97 / $213.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $83.73 / $139.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $83.73 / $139.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.94 / $71.52 / $181.61