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Phenylephrine and Ketorolac Ophthalmic Irrigation Solution

Idaho 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 $123 · 10th–90th $120$3090%50%10th90th$123Professionalmedian $120 · 10th–90th $112$1230%50%10th90th$120$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$151.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49