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Illinois 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
$1,777.80 / $2,074.10 / $2,114.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.72 / $1,007.42 / $1,943.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,891.88 / $6,373.22 / $20,361.73
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $1,465.75 / $1,804.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,220.76