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South Carolina 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
$6.69 / $20.64 / $79.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.56 / $10.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.25 / $31.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.30 / $1.57
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.43 / $5.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.31