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Minnesota 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 / $114.54 / $195.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $150.97 / $496.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.64 / $141.35 / $283.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.16 / $97.70 / $130.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.83 / $398.94 / $485.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.96 / $146.96 / $162.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.97 / $364.06 / $456.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.69 / $127.69 / $173.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.70 / $97.70 / $190.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.70 / $97.70 / $177.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $207.64