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Iowa rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,754.23 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $977.24 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,318.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $1,348.96 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1,174.90 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,230.27