go back

Idaho 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 / $497.80 / $572.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.80 / $547.95 / $622.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.94 / $498.14 / $498.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.95 / $660.03 / $890.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $622.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.57 / $733.05 / $1,246.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.76 / $597.76 / $622.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14