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Vermont rates for HCPCS J7313

Injection Fluocinolone Acetonide Intravitreal Implant (Iluvien) 0.01 Mg (Desc Rvsd 10/1/19)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $855.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.92 / $563.92 / $563.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.94 / $555.58 / $925.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.94 / $555.58 / $925.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.14 / $498.14 / $498.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.23 / $498.14 / $766.29