go back

Nebraska rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $48.98 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.45 / $6.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $30.20 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.37 / $0.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.34 / $0.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $17.38 / $47.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.78 / $0.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.33 / $0.76