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Missouri 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
Professional
Modifier
Low / Median / High Price
$983.72 / $1,180.46 / $2,742.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1,120.22 / $3,760.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.90 / $948.16 / $1,185.20
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.20 / $1,936.49 / $5,234.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.42 / $1,185.20 / $1,197.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.42 / $1,185.20 / $1,197.05