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West Virginia 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
$72.44 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $85.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $107.15 / $107.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $72.44 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $302.00 / $302.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $776.25 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $72.44 / $181.97