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California rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $9.96 / $88.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $2.20 / $6.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.48 / $1.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.35 / $2.14
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.32 / $1.94
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.36 / $0.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.11 / $2.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.65
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.19
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.33 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.90