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Nationwide rates for HCPCS J1097

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $204.17 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $117.49 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $154.88 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $120.23 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $141.25