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Dexamethasone Lacrimal Ophthalmic Insert

Oregon rates for HCPCS J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

Rates data updated July 2026.

Facilitymedian $135 · 10th–90th $93$2290%10%20%10th90th$135Professionalmedian $98 · 10th–90th $93$1580%50%10th90th$98$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$169.82
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$234.42
Typical High
$295.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$97.72
Typical High
$186.21
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$120.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$213.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$331.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$93.33
Typical High
$112.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72