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Pennsylvania 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
$115.63 / $267.88 / $3,417.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $204.74 / $701.55
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.70 / $122.00 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.70 / $116.70 / $116.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.09 / $112.45 / $112.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $112.45 / $112.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.11 / $411.11 / $411.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.63 / $283.91 / $3,402.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.57 / $246.40 / $569.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.09 / $112.45 / $112.45
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $112.45 / $112.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.58 / $129.58 / $150.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.58 / $129.58 / $150.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.66 / $139.66 / $139.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $112.45 / $205.78