go back

South Dakota rates for HCPCS J7311

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $575.44 / $30,199.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $371.54 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $436.52
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $371.54