| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $1,046.93 | $1,046.93 | $1,046.93 | |
Cigna
| Facility | $1,046.93 | $1,046.93 | $1,046.93 | |
United
| Professional | $1,078.53 | $1,185.20 | $1,920.95 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $1,046.93 | $1,046.93 | $1,046.93 | |
Cigna
| Facility | $1,046.93 | $1,046.93 | $1,046.93 | |
United
| Professional | $1,078.53 | $1,185.20 | $1,920.95 |