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Iowa 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
$147.47 / $495.25 / $495.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $327.45 / $830.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.69 / $130.66 / $159.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $349.90 / $745.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.70 / $148.49 / $495.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.70 / $97.70 / $247.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.24 / $161.25 / $254.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.07 / $171.26 / $313.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $117.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.70 / $97.70 / $97.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.70 / $97.70 / $97.70