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Illinois rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $2.29 / $2.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $4.37 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $13.80 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.47 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.26