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Minnesota 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 / $202.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $111.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $141.81 / $303.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.19 / $101.49 / $141.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.10 / $425.22 / $517.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.89 / $143.21 / $156.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.14 / $388.04 / $487.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.76 / $112.76 / $153.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.49 / $101.49 / $171.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $101.49 / $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 / $186.61