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Wyoming 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 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $218.78 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20