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Utah 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
$577.44 / $577.84 / $577.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.84 / $577.84 / $577.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.52 / $700.50 / $749.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.69 / $987.17 / $1,417.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.80 / $498.14 / $498.14