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Pennsylvania rates for HCPCS J7326

Hyaluronan or derivative, Gel-One, for intra-articular injection, per dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.26 / $894.45 / $1,699.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.26 / $534.54 / $726.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.07 / $574.20 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.23 / $549.23 / $549.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.30 / $529.26 / $529.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.26 / $529.26 / $529.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.26 / $945.76 / $1,593.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.26 / $550.64 / $1,593.02
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.30 / $529.26 / $529.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.26 / $529.26 / $529.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.39 / $517.39 / $600.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.39 / $517.39 / $600.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.26 / $529.26 / $968.55