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Ocriplasmin Injection

South Carolina rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Rates data updated October 2026.

How much does Ocriplasmin Injection cost?

$1,175per 0.125 mg

Typical negotiated rate. In South Carolina, October 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 $1,995 from a hospital or other facility.

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
$1,995

The same drug, in the same amount, costs 70% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$1,047 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,995$1,259 to $2,570

How much rates vary

Facilitymedian $1,995 · 10th to 90th $891 to $3,631Professionalmedian $1,175 · 10th to 90th $1,047 to $1,259
$500$1K$2K$5Kfacility $1,995professional $1,175

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,995.26
Typical High
$3,630.78
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,174.90
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,995.26
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,230.27

Where South Carolina sits

The same service costs 5.8 times more in Alabama than in Arkansas. 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.

South Carolina· 23rd of 51

$1,175

AL $5,623AR $977

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.