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Dexamethasone Lacrimal Ophthalmic Insert

Wisconsin rates for HCPCS J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $95$2750%10%10th90th$148Professionalmedian $95 · 10th–90th $93$2450%50%10th90th$95$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
$95.50
Median
$186.21
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$95.50
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$239.88
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$181.97
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$229.09
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$204.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$229.09
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$204.17
Quartz
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$331.13
Quartz
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$281.84
Typical High
$691.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Security Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$138.04