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Connecticut 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 / $1,513.04 / $3,312.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.42 / $1,007.42 / $1,007.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.04 / $3,414.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.19 / $1,046.93 / $1,151.61
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.42 / $1,086.44 / $1,309.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.68 / $1,185.20 / $1,315.57