go back

Massachusetts 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
$114.54 / $200.45 / $4,614.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $119.12 / $637.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.99 / $306.97 / $642.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $243.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.90 / $146.15 / $311.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.70 / $154.37 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $237.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.79 / $520.79 / $642.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $243.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $243.78