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Georgia 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 / $149.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $102.94 / $122.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.93 / $167.57 / $377.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.94 / $102.94 / $201.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.11 / $97.11 / $102.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.25 / $383.00 / $594.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $157.50