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New Mexico 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 / $152.31 / $152.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $127.24 / $423.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.61 / $962.83 / $1,586.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.46 / $134.46 / $181.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.34 / $180.34 / $180.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.54 / $172.20 / $221.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54