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South Carolina 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
$109.65 / $158.49 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $112.20 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $489.78 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $162.18 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $147.91 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $128.82 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $128.82