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Ocriplasmin Injection

Iowa rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Rates data updated October 2026.

How much does Ocriplasmin Injection cost?

$1,175per 0.125 mg

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $1,175 for each 0.125 mg of this drug. Most negotiated rates run $1,175 to $1,318.

Work out the cost of a dose

This drug is priced per 0.125 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$1,175

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,318 · 10th to 90th $1,175 to $1,514Professionalmedian $1,175 · 10th to 90th $1,175 to $1,549
$1$10$100$1Kfacility $1,318professional $1,175

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,318.26
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$1,348.96
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,754.23
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,258.93

Where Iowa sits

The same service costs 5.8 times more in Alabama than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 13th of 51

$1,175

AL $5,623AR $977

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.