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Dexamethasone Lacrimal Ophthalmic Insert

South Dakota rates for HCPCS J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

Rates data updated July 2026.

Facilitymedian $93 · 10th–90th $93$1910%50%90th$93Professionalmedian $93 · 10th–90th $93$1170%50%90th$93$100.0$200.0

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
$93.33
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$169.82
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$112.20
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33