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New Hampshire 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 / $380.53 / $679.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $340.31 / $340.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.29 / $578.53 / $1,487.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.76 / $340.31 / $340.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.05 / $340.31 / $340.31
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 / $566.62 / $1,121.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.26 / $340.31 / $340.31