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North Dakota 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 / $182.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $122.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.67 / $112.23 / $113.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.92 / $112.06 / $113.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.76 / $112.76 / $140.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.49 / $166.50 / $192.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $101.49 / $113.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.93 / $102.93 / $102.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.50 / $102.94 / $111.80