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Mississippi 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
$116.11 / $169.92 / $169.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.11 / $120.36 / $169.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.60 / $111.60 / $122.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.21 / $120.36 / $120.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.36 / $120.36 / $120.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.28 / $118.00 / $153.40