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South Dakota 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
$16.98 / $16.98 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $22.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $29.51 / $47.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.38 / $17.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.78 / $19.50
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78