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Kansas rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.52 / $192.00 / $446.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $104.99 / $144.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.18 / $170.09 / $265.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.71 / $109.71 / $109.71
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.49 / $153.57 / $166.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $101.49 / $158.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.93 / $102.93 / $102.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $175.00