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Oklahoma 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 / $537.62 / $913.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.99 / $537.99 / $537.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.94 / $469.94 / $498.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.87 / $537.62 / $768.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.77 / $497.80 / $498.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $533.80