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Arkansas 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
$1,007.42 / $1,007.42 / $1,007.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.72 / $1,007.42 / $1,007.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.67 / $987.67 / $987.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.67 / $987.67 / $987.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,086.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.81 / $1,185.20 / $1,185.20