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South Carolina rates for HCPCS J7316

Injection, ocriplasmin, 0.125 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.94 / $1,360.02 / $2,742.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.32 / $1,596.74 / $2,702.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.98 / $1,185.20 / $1,422.24
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.13 / $1,832.13 / $1,832.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.86 / $971.86 / $1,214.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.20 / $1,185.20 / $1,185.20