go back

Arkansas rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.71 / $123.52 / $123.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $123.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.10 / $110.10 / $110.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.10 / $110.10 / $114.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.11 / $102.94 / $137.40
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
$102.94 / $102.94 / $163.19