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Utah rates for HCPCS J7311

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.13 / $394.76 / $394.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.76 / $394.76 / $892.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.31 / $440.12 / $506.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.91 / $340.31 / $346.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.65 / $279.05 / $442.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.36 / $638.87 / $917.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.34 / $374.34 / $408.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.29 / $340.31 / $340.31