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Utah 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
$983.72 / $983.72 / $983.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.72 / $983.72 / $983.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.93 / $1,046.93 / $1,046.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.15 / $1,695.82 / $2,142.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.94 / $1,185.20 / $1,185.20