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Nebraska 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 / $17.62 / $38.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $17.62 / $370.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.96 / $18.95 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $19.53 / $19.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.80 / $22.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.26 / $17.44 / $264.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $17.44 / $26.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.74 / $28.05 / $40.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.93 / $26.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $17.62 / $19.38