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New Jersey rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.94 / $143.10 / $278.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $103.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.94 / $141.53 / $183.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.50 / $377.17 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $101.49 / $141.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.93 / $102.93 / $174.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $126.15