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Alaska rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $8.51 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $3.80 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $7.94 / $91.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $1.07 / $16.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $2.82 / $4.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.50 / $44.67