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Maine rates for HCPCS J7311

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.52 / $789.52 / $850.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.93 / $353.93 / $411.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.32 / $413.37 / $1,078.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $340.31 / $340.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.91 / $340.31 / $599.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $340.31 / $340.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $340.31 / $412.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.52 / $789.52 / $850.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $356.75 / $570.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.26 / $340.31 / $510.47