Intravitreal fluocinolone acetonide implant (Retisert), per 0.01 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fluocinolone acetonide implt

Payers reporting HCPCS J7311

Payer pricing summary

Low

$177

Average

$11.1k

Median

$4.9k

High

$65.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	561	$515	$733	$2.2k	299%	—	$1 – $42.8k
2	Aetna fee schedule · outpatient · +19 other terms	378	$398	$1.8k	$7.8k	439%	—	$1 – $105.8k
3	Humana fee schedule · outpatient · +18 other terms	331	$340	$19.5k	$51.4k	263%	—	$1 – $196.1k
4	Cigna fee schedule · outpatient · +14 other terms	330	$500	$1.2k	$4.0k	346%	—	$272 – $57.5k
5	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	327	$630	$4.5k	$16.1k	358%	—	$0 – $120.3k
6	Molina fee schedule · outpatient · +17 other terms	133	$493	$1.1k	$3.9k	342%	—	$1 – $42.8k
7	WellCare fee schedule · outpatient · +10 other terms	121	$340	$384	$118	31%	—	$313 – $781
8	Anthem fee schedule · outpatient · +18 other terms	116	$492	$2.6k	$9.8k	373%	—	$299 – $85.8k
9	Caresource fee schedule · outpatient · +9 other terms	70	$390	$401	$96	24%	—	$1 – $664
10	Devoted fee schedule · outpatient · +7 other terms	66	$340	$339	$17	5%	—	$310 – $369
11	Kaiser fee schedule · outpatient · +14 other terms	61	$508	$2.0k	$7.9k	391%	—	$271 – $51.7k
12	Ambetter facility · fee schedule · outpatient · +9 other terms	54	$600	$638	$147	23%	—	$333 – $850
13	Optum fee schedule · outpatient · +13 other terms	32	$334	$427	$174	41%	—	$302 – $973
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$1.2k	$1.1k	$506	44%	—	$313 – $2.2k
15	Oscar facility · fee schedule · outpatient · +11 other terms	25	$435	$480	$90	19%	—	$339 – $630
16	Clover fee schedule · outpatient · +4 other terms	24	$364	$357	$23	6%	—	$322 – $392
17	Aetna Better Health fee schedule · outpatient · +6 other terms	22	$340	$342	$19	5%	—	$319 – $370
18	Medical Mutual facility · fee schedule · outpatient · +5 other terms	21	$634	$709	$334	47%	—	$184 – $1.4k
19	Regence facility · fee schedule · outpatient · +8 other terms	21	$353	$402	$138	34%	—	$289 – $832
20	Healthpartners fee schedule · outpatient · +5 other terms	19	$398	$396	$12	3%	—	$346 – $407
21	Medicare fee schedule · outpatient · +6 other terms	19	$334	$333	$1	0%	—	$330 – $334
22	MultiPlan fee schedule · outpatient · +12 other terms	19	$50	$7.1k	$20.6k	291%	—	$50 – $80.5k
23	Tricare fee schedule · outpatient · +3 other terms	17	$324	$10.7k	$9.9k	93%	—	$302 – $20.1k
24	Highmark fee schedule · outpatient · +6 other terms	16	$459	$465	$153	33%	—	$185 – $906
25	Wellmark fee schedule · both · +4 other terms	14	$340	$340	$0	0%	—	$340 – $340

Page 1 of 3 · 57 payers