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Illinois 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
$1.45 / $13.32 / $72.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $2.20 / $8.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.30 / $8.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.92 / $0.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.68 / $17.30
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.40