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Dexamethasone Lacrimal Ophthalmic Insert

South Carolina rates for HCPCS J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

Rates data updated July 2026.

Facilitymedian $166 · 10th–90th $98$3890%10%10th90th$166Professionalmedian $98 · 10th–90th $98$1510%50%90th$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
$97.72
Median
$144.54
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$169.82
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$109.65