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Louisiana 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
$112.20 / $117.49 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $125.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $114.82 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $151.36