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Vermont rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $174.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $116.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.11 / $125.30 / $208.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.11 / $125.30 / $208.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.79 / $102.94 / $158.35