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Massachusetts 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
$1.30 / $6.00 / $72.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.66 / $4.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.92 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.82
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.64
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $1.70 / $37.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.43
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.31 / $1.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.43