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Iowa 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
$2.15 / $20.47 / $133.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $2.37 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.60 / $0.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.54 / $13.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $17.70 / $48.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $1.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.98 / $1.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.71 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.31
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35