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Missouri rates for HCPCS J7311

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $389.05 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $346.74 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $354.81 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $363.08 / $30,199.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $338.84 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $338.84 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $338.84 / $389.05