go back

Alabama rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.49 / $102.94 / $102.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $174.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.53 / $580.72 / $781.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.93 / $102.93 / $102.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.10 / $102.94 / $102.94