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North Carolina 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 / $1,198.94 / $1,198.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.72 / $983.72 / $1,198.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,078.01 / $3,078.01 / $3,078.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.56 / $1,076.56 / $1,076.56
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 / $1,185.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.72 / $1,303.72 / $1,303.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.75 / $1,046.75 / $1,046.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,540.76
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $1,690.00 / $5,234.64