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Alaska rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.87 / $186.87 / $660.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.50 / $191.46 / $236.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.79 / $273.79 / $273.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $331.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.10 / $254.10 / $399.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.80 / $273.79 / $584.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $111.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $154.41 / $207.65