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Minnesota 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
$7.02 / $57.08 / $146.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $2.22 / $6.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.97 / $1.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.35 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $2.15 / $2.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.67 / $0.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.96 / $2.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $20.10 / $38.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.56