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North Carolina 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
$134.90 / $288.40 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $208.93 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $114.82 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $181.97 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $123.03 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $575.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $134.90 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $208.93 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $186.21
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65