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Ohio rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $2.34 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.45 / $7.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.15 / $1.95
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 / $1.82
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.82
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.66 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.23