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Ocriplasmin Injection

Idaho rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Rates data updated July 2026.

Facilitymedian $1,202 · 10th–90th $145$2,2390%20%10th90th$1,202Professionalmedian $1,000 · 10th–90th $955$1,0960%50%10th90th$1,000$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$1,258.93
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,174.90
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,445.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$239.88
Typical High
$2,630.27
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90