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Pennsylvania rates for HCPCS J7311

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

Facilitymedian $676 · 10th–90th $339–$1,0230%10%20%10th90th$676Professionalmedian $339 · 10th–90th $339–$5620%50%90th$339$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $794.33 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $660.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $562.34 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $346.74
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $309.03 / $346.74
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $588.84
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $35,481.34
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $354.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $389.05 / $398.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $398.11 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $338.84 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $338.84 / $398.11