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Maryland 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 / $497.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $637.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.80 / $497.80 / $498.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $634.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $522.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $581.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.68 / $493.68 / $493.68