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Oklahoma rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.01 / $960.01 / $1,910.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.01 / $960.01 / $960.01
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
$864.01 / $1,046.93 / $1,690.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20