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Alaska rates for HCPCS J7316

Injection Ocriplasmin 0.125 Mg (Code Was Deleted01/01/03 But Reinstated On 01/01/14) Sodium Hyaluronate 5 Mg For Intra-Articular Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.42 / $2,182.42 / $7,715.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.72 / $2,204.46 / $2,742.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,152.39 / $3,152.39 / $3,152.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.91 / $965.91 / $1,379.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,152.39 / $3,152.39 / $3,152.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.91 / $1,046.93 / $1,379.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,777.80 / $2,390.79