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Georgia 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
$497.80 / $498.14 / $731.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $503.12 / $602.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.13 / $810.96 / $1,828.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.95 / $498.14 / $498.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.14 / $498.14 / $976.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.94 / $469.94 / $498.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.81 / $1,022.00 / $1,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $534.19