go back

New Jersey 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
$1.06 / $3.53 / $9.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $3.11 / $187.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.70 / $0.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.34 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.68