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Dexamethasone Lacrimal Ophthalmic Insert

Hawaii rates for HCPCS J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

Rates data updated July 2026.

Professionalmedian $145 · 10th–90th $115$1450%50%10th$145$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$134.90
HMSA
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$112.20
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$147.91