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Pennsylvania 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
$17.62 / $40.81 / $53.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.79 / $370.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $19.11 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.28 / $18.28 / $18.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $17.62 / $17.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.61 / $34.71 / $53.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $19.27 / $53.02
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $17.62 / $17.62
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $19.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $19.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $25.87