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Iowa 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
$1,958.18 / $2,278.07 / $2,619.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,742.96 / $2,742.96 / $2,742.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.50 / $1,066.50 / $1,333.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,564.75 / $1,597.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1,186.18 / $1,499.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,601.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1,306.94 / $1,460.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.18 / $1,332.48 / $2,669.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,220.76