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Washington 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
$79.43 / $138.04 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $77.62 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $89.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $83.18 / $134.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $95.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $87.10 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $93.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $95.50