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Maine 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
$1,155.68 / $1,155.68 / $1,245.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.05 / $602.34 / $684.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.04 / $605.08 / $1,578.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $603.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.68 / $1,155.68 / $1,245.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.05 / $572.86 / $1,245.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $747.21