https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39529&ver=3
LCD - Intraarticular Knee Injections of Hyaluronan (L39529)
HYALURonan Preparation, Duration of Treatment per Series* ; Synvisc-One, Gel-One, Monovisc, Durolane, Single injection per knee ; Hymovis, 2 weekly injections per ...