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Virginia rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $14.79 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $2.19 / $6.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.66 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.54 / $0.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.33 / $0.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.33 / $1.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $1.78 / $2.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.40 / $1.91
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.40 / $1.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.41