go back

Washington 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
$1.13 / $1.17 / $1.26
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.22 / $95.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.24 / $1.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.17 / $2.02
Regence BlueShield
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