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Phenylephrine and Ketorolac Ophthalmic Irrigation Solution

Texas 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 $229 · 10th–90th $112$5250%10%20%10th90th$229Professionalmedian $115 · 10th–90th $112$1450%50%10th90th$115$50.0$100.0$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$275.42
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Christus
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$288.40
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$165.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Providence
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$97.72
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$158.49