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Oregon 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
$2,370.40 / $2,370.40 / $2,370.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.72 / $983.72 / $2,742.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.86 / $2,093.86 / $2,093.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,135.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.72 / $1,406.72 / $2,115.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.01 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.72 / $1,406.72 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,135.82 / $1,382.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.22 / $1,018.70 / $2,536.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20