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Nebraska rates for HCPCS J7323

Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $190.55 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $213.80 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $120.23 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $114.82 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $107.15 / $134.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $354.81 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $112.20 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $104.71 / $158.49