J7321 prior authorization | Aetna

J7321, Viscosupplements: Hyalgan (sodium hyaluronate), is on the Aetna prior authorization list. Not a coverage or referral decision.

Code: J7321
Description: Viscosupplements: Hyalgan (sodium hyaluronate)
Description: Viscosupplements: Supartz FX (sodium hyaluronate)
Description: Viscosupplements: Visco 3 (sodium hyaluronate)
Source: Participating provider precertification list for Aetna, Pg 33 Original policy
Source: Participating provider precertification list for Aetna, Pg 33 Original policy
Source: Participating provider precertification list for Aetna, Pg 33 Original policy

Aetna prior authorization

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