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Phenylephrine and Ketorolac Ophthalmic Irrigation Solution

Virginia 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 $174 · 10th–90th $98$3160%10%20%10th90th$174Professionalmedian $120 · 10th–90th $112$1480%50%10th90th$120$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$120.23
Median
$239.88
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$181.97
Sentara
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$173.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$117.49
Typical High
$141.25