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Arizona 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
$533.01 / $996.28 / $1,494.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.26 / $627.65 / $1,286.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.56 / $1,711.11 / $2,797.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.29 / $481.87 / $3,168.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.95 / $498.14 / $498.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.80 / $652.82 / $783.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.80 / $497.80 / $497.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14