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New Hampshire 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 / $557.54 / $995.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.41 / $822.38 / $2,177.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.80 / $498.14 / $498.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.94 / $498.14 / $498.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.65 / $808.98 / $1,537.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.95 / $540.04 / $687.33