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Pennsylvania rates for HCPCS J7329

Hyaluronan or derivative, Trivisc, for intra-articular injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $12.75 / $16.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $4.87 / $214.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $5.09 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $4.69 / $4.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $12.75 / $16.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.50 / $39.54
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $4.69 / $4.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.38 / $9.38 / $10.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.38 / $10.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $4.69 / $18.39