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Ohio rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $5.84 / $25.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $1.92 / $5.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.52 / $0.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.51
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.35 / $0.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.35 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $2.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $4.01 / $15.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.38 / $3.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.43 / $0.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.39