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North Carolina 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
$486.87 / $562.34 / $947.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.95 / $498.14 / $607.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.14 / $1,269.84 / $1,523.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.28 / $490.28 / $497.80
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 / $581.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.95 / $592.79 / $630.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.95 / $490.95 / $490.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $647.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.62 / $741.06 / $2,490.69