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Ocriplasmin Injection

Nebraska rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Rates data updated July 2026.

How much does Ocriplasmin Injection cost?

$1,175per 0.125 mg

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1,175 for each 0.125 mg of this drug. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,754 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.125 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$1,175
At a hospital outpatient department
$2,754

The same drug, in the same amount, costs 134% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$1,175 to $1,175
FacilityA hospital or hospital-owned outpatient department$2,754$1,175 to $2,754

How much rates vary

Facilitymedian $2,754 · 10th to 90th $1,072 to $2,754Professionalmedian $1,175 · 10th to 90th $1,122 to $1,318
$1K$2K$5Kfacility $2,754professional $1,175

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,754.23
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,754.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,148.15
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,071.52
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$5,248.07
Typical High
$5,248.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,174.90

Where Nebraska sits

The same service costs 263026.8 times more in Alabama than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 17th of 51

$1,175

AL $5,248IN $0.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.