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Nebraska 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 / $492.65 / $752.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.76 / $340.31 / $892.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.48 / $385.27 / $385.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $373.11 / $385.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.91 / $328.91 / $328.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.91 / $379.53 / $433.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.76 / $386.95 / $29,984.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.90 / $339.76 / $401.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.88 / $493.43 / $1,834.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.72 / $890.58 / $27,083.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.12 / $340.31 / $374.34