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Ocriplasmin Injection

Indiana rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Rates data updated July 2026.

How much does Ocriplasmin Injection cost?

$0.02per 0.125 mg

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $0.02 for each 0.125 mg of this drug. The price depends on where it is billed: about $1,047 from a physician practice, and about $0.02 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$1,047
At a hospital outpatient department
$0.02

The same drug, in the same amount, costs 100% less at a hospital than at a doctor's office.

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$1,047 to $1,288
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $0.02

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1,380Professionalmedian $1,047 · 10th to 90th $955 to $1,622
$0.1$1$10$100$1Kfacility $0professional $1,047

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,621.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,344.23

Where Indiana sits

The same service costs 263026.8 times more in Alabama than in Indiana. 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.

Indiana· 51st of 51

$0.02

AL $5,248IN $0.02

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.