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South Carolina 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
$523.04 / $523.04 / $2,113.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.95 / $523.04 / $684.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.62 / $726.12 / $1,186.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $581.37 / $681.20
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.04 / $575.34 / $1,258.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.16 / $859.16 / $859.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14