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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
$4.09 / $10.41 / $79.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.65 / $4.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.63 / $1.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.30 / $1.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.36 / $1.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $1.76 / $2.22
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.38 / $1.91
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.38 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.38