go back

Connecticut rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.05 / $158.53 / $287.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.05 / $107.05 / $107.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.99 / $156.49 / $308.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $106.82 / $128.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.79 / $102.94 / $176.64