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Louisiana 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 / $18.14 / $38.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $17.79 / $21.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.08 / $16.00 / $19.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $19.25 / $19.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.89 / $274.89 / $274.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $16.62 / $17.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $17.62 / $30.04