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Mississippi rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.08 / $121.78 / $123.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $108.08 / $138.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.32 / $129.32 / $142.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.94 / $102.94 / $135.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.61 / $110.68 / $147.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.93 / $102.93 / $102.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.82 / $102.94 / $133.82