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Wisconsin 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
$7.76 / $11.22 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $22.91 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $19.05 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.55 / $14.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $16.98
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.85 / $15.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $10.96 / $64.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $15.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.94 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.13 / $23.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $9.33 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $12.02