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Utah 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
$113.33 / $132.86 / $132.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.86 / $152.61 / $245.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.78 / $139.94 / $191.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.08 / $249.18 / $347.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.81 / $114.54 / $114.54