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Phenylephrine and Ketorolac Ophthalmic Irrigation Solution

Alaska rates for HCPCS J1097 · Omidria

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

Rates data updated July 2026.

How much does Omidria (phenylephrine and ketorolac) cost?

$758per dose

One 4 mL dose, at the doctor's office rate. In Alaska, July 2026.

Negotiated ratewhat insurers pay per mL of the drug
$191 / mL
Average doseacross Medicare claims, discarded units included
× 4 mL
One dosedrug only; giving it and the visit are billed separately
$758

Work out the cost of a dose

This drug is priced per mL. Enter the amount given to see what insurers have agreed to pay for it. Prefilled with the average administration in Medicare claims, discarded units included.

mL
In a doctor's office or clinic
$762
At a hospital outpatient department
$798

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where the price changes

Given atPer mLPer 4 mL dose
Doctor's office or clinic$191$758
Hospital outpatient department$200$794

How much rates vary

Facilitymedian $200 · 10th to 90th $69 to $676Professionalmedian $191 · 10th to 90th $120 to $204
$100$200$500facility $200professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$275.42
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$309.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$275.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$239.88

Where Alaska sits

The same service costs 12.9 times more in Colorado than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 2nd of 51

$191

CO $195HI $15.14

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.