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North Dakota 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 / $896.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $602.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.42 / $543.13 / $550.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.37 / $542.32 / $547.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.03 / $500.03 / $625.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.80 / $572.79 / $1,493.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.77 / $497.80 / $540.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.42 / $498.14 / $541.00