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Indiana 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
$502.77 / $1,188.91 / $2,262.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $503.12 / $503.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.13 / $996.26 / $1,320.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.41 / $498.13 / $707.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.14 / $498.14 / $747.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $622.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.95 / $498.14 / $1,362.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $617.69