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Idaho rates for HCPCS J7311

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.76 / $339.76 / $339.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.76 / $374.34 / $425.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.05 / $340.31 / $416.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.91 / $340.31 / $388.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.76 / $357.33 / $450.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $340.31 / $544.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.70 / $245.92 / $340.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.62 / $499.69 / $964.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $340.31 / $425.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.12 / $340.31 / $476.43