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Wyoming rates for HCPCS J1096

Dexamethasone Lacrimal Ophthalmic Insert 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.49 / $101.49 / $101.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $101.49 / $102.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $192.00 / $192.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.11 / $97.11 / $97.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $145.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $102.94 / $102.94