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Phenylephrine and Ketorolac Ophthalmic Irrigation Solution

Florida rates for HCPCS J1097

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

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $112$4680%20%10th90th$178Professionalmedian $117 · 10th–90th $112$1200%50%10th90th$117$50.0$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
$117.49
Median
$263.03
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$120.23
AvMed
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
AvMed
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$181.97
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$97.72
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$123.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49