go back

Massachusetts rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $2.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.68 / $3.56
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $2.43
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $95.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $2.29