go back

Idaho 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
$3.61 / $9.51 / $57.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $1.39 / $4.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $11.59 / $41.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $1.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.48