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Oregon 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
$0.79 / $8.52 / $76.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $1.95 / $6.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $1.00 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.71 / $1.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $14.08 / $85.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.39 / $1.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $1.00 / $2.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.53 / $0.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30