go back

Louisiana 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 / $513.08 / $1,100.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.13 / $503.12 / $602.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.41 / $486.04 / $559.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.46 / $495.46 / $505.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.95 / $498.14 / $581.02