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Massachusetts 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
$1,007.42 / $1,007.42 / $2,370.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.42 / $1,007.42 / $1,007.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.93 / $1,690.00 / $3,467.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.42 / $1,185.20 / $1,458.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.35 / $1,335.88 / $2,847.65
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $2,174.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $1,690.00 / $5,234.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.42 / $1,185.20 / $1,777.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.42 / $1,185.20 / $1,659.33