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Missouri 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
$97.70 / $495.25 / $673.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $117.97 / $1,204.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.54 / $194.72 / $411.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $143.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.05 / $108.05 / $114.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.70 / $294.67 / $642.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.05 / $97.70 / $121.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.36 / $114.54 / $140.08