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Nebraska rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.49 / $102.94 / $227.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $102.94 / $170.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.40 / $110.70 / $116.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.15 / $113.73 / $116.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $112.76 / $140.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.49 / $166.50 / $697.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $101.49 / $111.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.82 / $197.66 / $265.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.78 / $130.03 / $169.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.93 / $102.93 / $102.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.79 / $102.94 / $113.23