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Minnesota 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
$1,918.00 / $1,918.00 / $2,093.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.01 / $983.72 / $2,742.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1,419.53 / $2,317.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.94 / $1,007.42 / $1,007.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.01 / $3,396.97 / $4,135.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.17 / $1,251.35 / $1,354.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.70 / $3,099.96 / $3,890.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.50 / $1,066.50 / $1,450.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,575.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $2,093.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $2,148.53