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Michigan 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
$100.63 / $125.79 / $359.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.63 / $119.16 / $275.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.97 / $130.97 / $130.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.42 / $124.42 / $130.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $209.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.54 / $176.10 / $573.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.63 / $117.97 / $262.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.35 / $131.72 / $144.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $121.52