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Oklahoma 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
$114.70 / $114.70 / $228.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.70 / $114.70 / $114.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.36 / $120.36 / $120.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.36 / $120.36 / $120.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.42 / $126.17 / $164.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00