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Montana rates for HCPCS J7325

Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.16 / $868.16 / $868.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $437.86 / $2,501.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.08 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.56 / $10.56 / $33.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $10.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.56 / $10.56 / $33.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $8.63 / $11.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $7.95