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Rhode Island rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.22 / $1.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.24
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14