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North Dakota rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.16 / $948.16 / $1,185.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.16 / $948.16 / $983.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.50 / $1,066.50 / $1,333.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.16 / $1,185.20 / $1,611.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,287.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.42 / $1,185.20 / $1,287.19