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Pennsylvania rates for HCPCS J7311

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.16 / $795.04 / $35,014.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $343.16 / $876.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.83 / $369.21 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.16 / $353.16 / $353.16
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 / $433.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.37 / $328.91 / $386.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.16 / $795.04 / $1,032.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $356.75 / $1,032.86
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.05 / $340.31 / $340.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.91 / $340.31 / $433.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.02 / $336.02 / $389.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.02 / $336.02 / $389.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.12 / $340.31 / $408.37