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Dexamethasone Lacrimal Ophthalmic Insert

Utah rates for HCPCS J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

Rates data updated July 2026.

Facilitymedian $107 · 10th–90th $107$2450%50%90th$107Professionalmedian $107 · 10th–90th $93$1070%50%10th$107$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
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$295.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72