How Much Does Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml Cost on Medicare?

Based on the data, CPT J1097 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 13.3% since 2019. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.