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Kentucky 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 / $175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $121.39 / $205.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.49 / $102.94 / $102.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.94 / $111.78 / $164.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $113.23 / $158.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.94 / $102.94 / $154.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $224.79 / $224.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $102.94 / $102.94