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Tennessee 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 / $731.77 / $1,084.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $602.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.11 / $562.11 / $562.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.82 / $2,454.35 / $2,490.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14