go back

Arizona 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
$1,268.16 / $2,370.40 / $3,555.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.72 / $2,742.96 / $2,742.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.16 / $3,738.12 / $5,908.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.86 / $948.16 / $6,282.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.93 / $1,690.00 / $5,234.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20