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Massachusetts 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
$498.14 / $498.14 / $996.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $518.05 / $684.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.70 / $941.10 / $1,650.34
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.87 / $498.14 / $630.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.50 / $635.63 / $1,354.94
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.80 / $786.52 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $1,034.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.62 / $662.62 / $2,490.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.87 / $498.14 / $747.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.87 / $498.14 / $697.42