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Fluocinolone Acetonide (Retisert) Injection

Virginia 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?

$355per 0.01 mg

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $355 for each 0.01 mg of this drug. The price depends on where it is billed: about $355 from a physician practice, and about $562 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
$562

The same drug, in the same amount, costs 58% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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 $355
FacilityA hospital or hospital-owned outpatient department$562$339 to $851

How much rates vary

Facilitymedian $562 · 10th to 90th $339 to $933Professionalmedian $355 · 10th to 90th $339 to $355
$200$500$1Kfacility $562professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$1,148.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$446.68
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$645.65
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$407.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
Medcost
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$18,197.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$389.05
Sentara
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$501.19
Sentara
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$338.84
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$338.84

Where Virginia 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.

Virginia· 13th of 51

$355

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.