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New Hampshire rates for HCPCS J7322

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

Facilitymedian $30 · 10th–90th $18–$710%10%10th90th$30Professionalmedian $18 · 10th–90th $17–$340%20%40%10th90th$18$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $19.95 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $47.86 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $18.20 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $35.48 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.20 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.78 / $27.54