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Maryland rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $8.32 / $20.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $1.04 / $4.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75