Rubrica

CPT J7321 · HCPCS Drug · Wellmark Blue Cross Blue Shield

Supartz / Hyalgan / VISCO-3 (HCPCS) at Wellmark Blue Cross Blue Shield.

How Wellmark Blue Cross Blue Shield approaches CPT J7321 (Supartz / Hyalgan / VISCO-3 (HCPCS)) for prior-authorization review: at last review on 2026-05-03, the policy does not cover this code without prior authorization.

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Coverage Not covered
Prior auth No prior auth
Last reviewed 2026-05-03

Criteria summary

High-level themes from the Wellmark Blue Cross Blue Shield policy of record for CPT J7321. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Wellmark BCBS Medical Policy Manual (South Dakota & Iowa)

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