go back

Texas rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $9.23 / $76.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.31 / $2.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.35 / $0.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.83 / $94.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.50 / $0.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.05
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.17 / $1.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $11.25 / $40.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.62 / $12.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.41 / $0.75