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Montana rates for HCPCS J7324

Hyaluronan or derivative, Orthovisc, for intra-articular injection, per dose

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $127.24 / $423.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.03 / $143.03 / $394.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $143.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.03 / $143.03 / $394.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $124.26 / $162.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54