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Michigan rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $8.75 / $41.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $1.80 / $5.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $50.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.69 / $1.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $7.67 / $39.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $1.34 / $13.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.40 / $0.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.32