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Michigan 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
$17.96 / $18.14 / $56.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $18.14 / $21.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.11 / $30.11 / $30.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.60 / $30.11 / $30.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $30.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.62 / $26.43 / $49.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.96 / $21.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $17.62 / $18.69