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Arizona rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $205.88 / $566.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.63 / $113.23 / $133.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.73 / $393.27 / $763.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.82 / $145.19 / $654.83
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.49 / $133.96 / $161.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $101.49 / $101.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94