go back

Illinois 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 / $747.21 / $1,299.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.80 / $498.14 / $627.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.12 / $2,984.57 / $9,548.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.42 / $581.37 / $1,099.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.58 / $647.58 / $647.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $528.53