go back

Missouri rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $9.71 / $73.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $2.00 / $9.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.51 / $1.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $5.05 / $91.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.35 / $0.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.30 / $0.37