| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,007.42 | $1,007.42 | $1,007.42 | |
Cigna
| Professional | $1,046.93 | $1,046.93 | $1,046.93 | |
United
| Professional | $948.16 | $1,161.50 | $1,777.80 |
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 |
|---|---|---|---|---|---|
Aetna
| Professional | $1,007.42 | $1,007.42 | $1,007.42 | |
Cigna
| Professional | $1,046.93 | $1,046.93 | $1,046.93 | |
United
| Professional | $948.16 | $1,161.50 | $1,777.80 |