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Ocriplasmin Injection

Oregon rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Rates data updated July 2026.

How much does Ocriplasmin Injection cost?

$977per 0.125 mg

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $977 for each 0.125 mg of this drug. The price depends on where it is billed: about $977 from a physician practice, and about $2,089 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
$977
At a hospital outpatient department
$2,089

The same drug, in the same amount, costs 114% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$977$977 to $1,047
FacilityA hospital or hospital-owned outpatient department$2,089$1,023 to $2,344

How much rates vary

Facilitymedian $2,089 · 10th to 90th $209 to $2,344Professionalmedian $977 · 10th to 90th $977 to $1,175
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,089professional $977

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
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,148.15
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$1,412.54
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,412.54
Typical High
$2,089.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,047.13
Typical High
$1,174.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90

Where Oregon sits

The same service costs 263026.8 times more in Alabama than in Indiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Oregon $977 · 45th of 51
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.