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Nebraska rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $2.19 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $2.09 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $4.47 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.15 / $1.74