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Massachusetts rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.94 / $102.94 / $205.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $107.05 / $121.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.30 / $257.76 / $697.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $163.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.45 / $131.35 / $280.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.49 / $160.35 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $213.79
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.14 / $2,905.14 / $3,009.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $697.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $163.19
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 / $163.19