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New Hampshire 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
$0.39 / $6.34 / $42.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.54 / $1.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.50 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.33 / $0.53