| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Quartz
| Facility | $338.84 | $575.44 | $575.44 |
Hyaluronan or derivative, Visco-3, for intra-articular injection, per dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Quartz
| Facility | $338.84 | $575.44 | $575.44 |