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Minnesota 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 / $995.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $1,286.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.13 / $685.95 / $1,086.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.24 / $497.80 / $497.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.18 / $1,607.59 / $1,957.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.03 / $592.20 / $635.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.79 / $1,467.03 / $1,841.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.03 / $500.03 / $680.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.80 / $497.80 / $841.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.80 / $497.80 / $896.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $903.03