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Nebraska rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $48.65 / $146.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $2.54 / $6.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.34 / $0.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.34 / $0.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.53 / $0.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $16.80 / $47.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.92 / $1.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.72 / $1.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.33