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Pennsylvania 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
$0.67 / $1.52 / $3.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.70 / $0.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.76 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.70 / $0.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.52 / $1.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.72 / $1.98
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.70 / $0.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.28