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Missouri rates for HCPCS J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $190.55 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $102.33 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $104.71 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $102.33 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $102.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $162.18 / $691.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $102.33 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $147.91 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $97.72 / $123.03