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Ocriplasmin Injection

Pennsylvania rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Rates data updated July 2026.

Facilitymedian $1,514 · 10th–90th $1,000$2,9510%20%10th90th$1,514Professionalmedian $1,000 · 10th–90th $1,000$1,1750%50%90th$1,000$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,513.56
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,630.78
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,513.56
Typical High
$2,818.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$2,570.40
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,621.81