go back

Michigan rates for HCPCS J7311

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.96 / $350.52 / $1,091.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $350.52 / $411.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,714.38 / $33,494.37 / $47,124.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.87 / $216.71 / $346.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.30 / $406.30 / $406.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.91 / $328.91 / $340.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $340.31 / $433.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.31 / $386.95 / $973.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $349.96 / $408.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $289.02 / $340.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.12 / $340.31 / $347.15