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Montana rates for HCPCS J7322

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

Facilitymedian $20 · 10th–90th $20$200%50%100%$20Professionalmedian $19 · 10th–90th $17$3720%20%10th90th$19$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78