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Maine 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
$40.88 / $40.88 / $44.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $18.32 / $24.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $21.40 / $55.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $21.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.88 / $40.88 / $44.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $19.27 / $24.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $30.43