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Montana rates for HCPCS J7322

Hyaluronan or derivative, Hymovis or Hymovis One, for intra-articular injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $17.78 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $19.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.12 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78