go back

Indiana rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $2.76 / $4.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $2.29 / $3.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.04 / $1.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $2.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $2.04
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 / $3.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $2.17