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Idaho 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
$17.44 / $17.44 / $20.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $19.38 / $22.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $17.62 / $17.62
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
$19.38 / $23.34 / $31.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $204.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $26.34 / $44.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.14 / $21.14 / $22.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62