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Pennsylvania rates for HCPCS J7314

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.89 / $1,246.24 / $1,619.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.89 / $537.91 / $9,522.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.65 / $574.88 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.88 / $549.88 / $549.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.90 / $529.89 / $529.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.89 / $529.89 / $529.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.91 / $1,246.24 / $1,619.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.89 / $579.69 / $1,619.04
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.90 / $529.89 / $529.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.89 / $529.89 / $529.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.54 / $523.54 / $607.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.54 / $523.54 / $607.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.89 / $529.89 / $748.38