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West 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
$127.24 / $730.94 / $968.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $115.68 / $509.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.54 / $171.81 / $171.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.05 / $114.54 / $487.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $290.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $286.80