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Phenylephrine and Ketorolac Ophthalmic Irrigation Solution

Hawaii rates for HCPCS J1097 · Omidria

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

Rates data updated October 2026.

How much rates vary

Professionalmedian $115 · 10th to 90th $115 to $178
professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$177.83