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Washington rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.20
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
$50.12 / $50.12 / $50.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.66
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.17 / $1.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.17 / $2.04
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
$1.15 / $1.15 / $1.15