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Michigan 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
$512.73 / $513.08 / $1,599.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $513.08 / $602.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.08 / $696.48 / $979.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.15 / $507.53 / $507.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $509.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.14 / $640.91 / $1,426.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $512.73 / $597.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.38 / $572.47 / $572.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $528.48