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Dexamethasone Lacrimal Ophthalmic Insert

Washington rates for HCPCS J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $93$2140%20%10th90th$148Professionalmedian $102 · 10th–90th $93$1200%20%10th90th$102$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
$102.33
Median
$186.21
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$112.20
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$199.53
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$112.20
Typical High
$213.80
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$158.49
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$120.23
Typical High
$120.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$199.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$120.23