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Hawaii rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $19.95 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $2.09 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.40 / $0.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.50 / $0.89