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Alaska rates for HCPCS J7324

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $2,691.53 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $134.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $354.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $794.33 / $1,258.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $295.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $109.65 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $165.96 / $457.09