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Idaho rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.16 / $1,007.42 / $1,019.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.42 / $1,080.43 / $1,457.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.32 / $186.04 / $2,031.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20