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Nebraska 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
$497.80 / $957.48 / $1,101.08
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
$422.96 / $555.79 / $563.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.38 / $557.91 / $563.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $500.03 / $625.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.95 / $497.80 / $2,454.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.77 / $497.80 / $572.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.91 / $740.52 / $1,031.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.39 / $597.36 / $1,251.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.23 / $498.14 / $547.95