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West 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
$72.23 / $74.12 / $98.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $72.23 / $98.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $73.39 / $107.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.82 / $165.82 / $165.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $71.52 / $96.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $163.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.42 / $578.95 / $833.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $213.66