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Minnesota 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
$141.60 / $251.00 / $1,757.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.28 / $117.53 / $141.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $165.69 / $299.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.29 / $120.36 / $120.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.09 / $366.69 / $446.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $135.08 / $146.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.80 / $334.63 / $419.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $115.13 / $156.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.42 / $191.44 / $350.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $118.00 / $162.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $118.00 / $212.40