go back

Fluocinolone Acetonide (Retisert) Injection

New Mexico rates for HCPCS J7311

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

Rates data updated July 2026.

How much does Retisert (fluocinolone acetonide) cost?

$372per 0.01 mg

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $372 for each 0.01 mg of this drug. The price depends on where it is billed: about $355 from a physician practice, and about $372 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.01 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$355
At a hospital outpatient department
$372

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$355$339 to $479
FacilityA hospital or hospital-owned outpatient department$372$339 to $525

How much rates vary

Facilitymedian $372 · 10th to 90th $135 to $676Professionalmedian $355 · 10th to 90th $339 to $832
$1$10$100$1K$10Kfacility $372professional $355

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$588.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$18,197.01
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$338.84
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$338.84

Where New Mexico sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 11th of 51

$372

MT $407HI $316

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.