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Ocriplasmin Injection

Illinois rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Rates data updated July 2026.

Facilitymedian $2,089 · 10th–90th $1,549$3,8900%50%10th90th$2,089Professionalmedian $1,259 · 10th–90th $977$2,0890%20%10th90th$1,259$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$2,089.30
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$6,025.60
Typical High
$17,782.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,949.84
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,479.11
Typical High
$1,819.70
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,202.26