go back

Hawaii rates for HCPCS J7314

Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.68 / $1,036.68 / $1,036.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.29 / $551.29 / $727.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.89 / $529.89 / $529.89
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.80 / $767.80 / $767.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.88 / $635.87 / $741.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.89 / $631.07 / $794.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.54 / $640.09 / $678.40