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Fluocinolone Acetonide (Retisert) Injection

Idaho rates for HCPCS J7311

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

Rates data updated July 2026.

How much does Retisert (fluocinolone acetonide) cost?

$372per 0.01 mg

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $372 for each 0.01 mg of this drug. The price depends on where it is billed: about $372 from a physician practice, and about $407 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.01 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$372
At a hospital outpatient department
$407

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$339 to $407
FacilityA hospital or hospital-owned outpatient department$407$347 to $631

How much rates vary

Facilitymedian $407 · 10th to 90th $339 to $25,119Professionalmedian $372 · 10th to 90th $339 to $427
$200$1K$5K$20Kfacility $407professional $372

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$21,379.62
Typical High
$42,657.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$426.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$354.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$831.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$407.38
Select Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$346.74
Typical High
$34,673.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$134.90
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$338.84
Typical High
$338.84

Where Idaho sits

Rates are fairly even across states for this service. 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.

Idaho· 7th of 51

$372

MT $407HI $316

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.