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Colorado 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
Professional
Modifier
Low / Median / High Price
$2,742.96 / $2,742.96 / $2,742.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $1,106.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.74 / $1,382.74 / $1,481.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.93 / $1,300.95 / $1,406.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.00 / $2,344.00 / $2,344.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20