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Utah 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
$123.03 / $691.83 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $114.82 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $181.97 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $269.15 / $489.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $109.65 / $181.97
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $112.20 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71