go back

North Carolina 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
$2.43 / $12.76 / $75.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $1.80 / $5.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.13 / $1.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.55
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 / $2.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.49 / $2.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00