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Ocriplasmin Injection

Massachusetts rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Rates data updated July 2026.

Facilitymedian $1,202 · 10th–90th $1,047$2,8840%20%40%10th90th$1,202Professionalmedian $1,047 · 10th–90th $1,000$1,6980%50%10th90th$1,047$100.0$500.0$2.0K$10.0K$50.0K

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
$1,000.00
Median
$1,659.59
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,630.27
Typical High
$3,467.37
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,096.48
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,187.76
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,288.25
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,737.80
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,630.27
Typical High
$3,467.37
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,096.48
Typical High
$1,445.44
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
$1,000.00
Median
$1,071.52
Typical High
$1,258.93