Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
sodium hyaluronate 10 mg/mL Syrg 2 mL SYRINGE
River Falls, WI
Negotiated rates from the hospital’s own file: 6 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 2 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 3 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 4 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 5 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $139 | $139 | — | — | — | $139 – $139 |
| 6 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 7 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 8 | Medica medica medicare (r) facility · fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 9 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $312 | $312 | — | — | — | $312 – $312 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $424 | $424 | — | — | — | $424 – $424 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $428 | $428 | — | — | — | $428 – $428 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $458 | $458 | — | — | — | $458 – $458 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $463 | $463 | — | — | — | $463 – $463 |
| 14 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $581 | $581 | — | — | — | $581 – $581 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $581 | $581 | — | — | — | $581 – $581 |
| 16 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $586 | $586 | — | — | — | $586 – $586 |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $591 | $591 | — | — | — | $591 – $591 |