go back

South Dakota rates for HCPCS J7327

Hyaluronan or derivative, Monovisc, for intra-articular injection, per dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.59 / $636.59 / $3,995.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.59 / $642.96 / $4,991.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.16 / $676.16 / $845.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.58 / $893.30 / $1,800.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.58 / $528.58 / $663.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.29 / $846.98 / $1,071.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.29 / $846.98 / $1,071.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.65 / $696.65 / $1,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.59 / $636.59 / $700.25
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.58 / $528.58 / $528.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.58 / $528.58 / $528.58