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Nebraska 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 / $173.56 / $253.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $245.82 / $676.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.25 / $129.66 / $129.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.06 / $123.19 / $129.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $127.69 / $159.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.70 / $185.63 / $642.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.70 / $97.70 / $146.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.19 / $183.22 / $254.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $174.09 / $335.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.81 / $114.54 / $125.99