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New Hampshire rates for HCPCS J7328

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

Facilitymedian $1 · 10th–90th $1–$30%10%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%20%40%10th90th$1$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.86 / $1.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $1.78 / $2.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.35 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.12 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $2.19