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West Virginia rates for HCPCS J1885

Injection, ketorolac tromethamine, per 15 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $6.41 / $10.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $1.76 / $5.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.35 / $0.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $3.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $2.88 / $9.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.68