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Alaska rates for HCPCS J7311

Injection, fluocinolone acetonide, intravitreal implant (Retisert), 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.95 / $625.64 / $2,211.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.96 / $632.98 / $792.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.91 / $340.31 / $340.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.33 / $357.33 / $357.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $340.31 / $850.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.17 / $541.73 / $851.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.17 / $425.65 / $464.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.33 / $357.33 / $773.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.91 / $369.21 / $425.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.43 / $510.47 / $1,020.93