go back

Alaska rates for HCPCS J7322

Hyaluronan or derivative, Hymovis or Hymovis One, for intra-articular injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $32.11 / $113.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $32.77 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.86 / $46.86 / $46.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $56.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.29 / $50.19 / $78.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $50.19 / $118.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $19.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $26.43 / $35.54