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Hawaii rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.91 / $164.91 / $164.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.23 / $123.52 / $144.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $135.54 / $154.41
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $145.71