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Washington rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $6.64 / $86.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $1.66 / $6.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.71 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.49 / $1.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.39 / $1.12
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.54 / $1.54
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.87 / $1.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Regence BlueShield
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