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Washington, DC rates for HCPCS J1885

Injection Ketorolac Tromethamine Per 15 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $6.39 / $63.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $1.30 / $2.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.30 / $0.49