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New Hampshire rates for HCPCS J7313

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $562.34 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $562.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,071.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $776.25