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Nevada 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
$117.53 / $271.49 / $601.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.53 / $117.53 / $120.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.91 / $123.90 / $376.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $120.36 / $120.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.84 / $120.36 / $120.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.36 / $120.36 / $120.36
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.60 / $141.60 / $141.60
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.75 / $106.75 / $106.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00