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Arkansas rates for HCPCS J7313

Injection Fluocinolone Acetonide Intravitreal Implant (Iluvien) 0.01 Mg (Desc Rvsd 10/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.47 / $597.76 / $661.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $597.36 / $597.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.05 / $540.05 / $540.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.28 / $540.05 / $540.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.94 / $498.14 / $509.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.87 / $498.14 / $498.14