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Hawaii 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
$33.65 / $33.65 / $33.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $24.19 / $399.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.43 / $25.43 / $25.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $21.14 / $24.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $20.90 / $26.43