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Utah 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
$7.68 / $25.01 / $69.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $2.59 / $5.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.99 / $1.13
Cigna
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