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Maine 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
$119.12 / $265.73 / $286.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $119.12 / $167.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.84 / $139.13 / $362.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $138.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.73 / $265.73 / $370.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.68 / $119.12 / $215.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $200.45