go back

New York rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $3.41 / $9.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $1.66 / $6.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.44 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.81
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.75 / $2.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.75 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.47
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.30 / $0.31