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Fluocinolone Acetonide (Iluvien) Injection

Montana rates for HCPCS J7313

Injection, fluocinolone acetonide, intravitreal implant (Iluvien), 0.01 mg

Rates data updated July 2026.

How much does Iluvien (fluocinolone acetonide) cost?

$550per 0.01 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $550 for each 0.01 mg of this drug. The price depends on where it is billed: about $550 from a physician practice, and about $562 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.01 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$550
At a hospital outpatient department
$562

The same drug, in the same amount, costs 2% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$513 to $617
FacilityA hospital or hospital-owned outpatient department$562$513 to $741

How much rates vary

Facilitymedian $562 · 10th to 90th $490 to $1,479Professionalmedian $550 · 10th to 90th $513 to $1,380
$100$200$500$1K$2Kfacility $562professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$562.34
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$1,479.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$1,479.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,445.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$512.86
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86

Where Montana sits

The same service costs 2.6 times more in Delaware than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 19th of 51

$550

DE $1,230HI $479

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.