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Virginia 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
$112.20 / $181.97 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $114.82 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $223.87 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $186.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $151.36 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $112.20 / $288.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $257.04 / $489.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $162.18 / $478.63
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $162.18 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $114.82 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $112.20 / $138.04