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Maine rates for HCPCS J7328

Hyaluronan or derivative, GELSYN-3, for intra-articular injection, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.72 / $0.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.85 / $2.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.77 / $0.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.23