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See a sample rate comparisonHCPCS J1885 (Ketorolac Tromethamine) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, ketorolac tromethamine, per 15 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1885 |
| Medicare Payment Limit | $0.303  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00338-0069-10 - KETOROLAC TROMETHAMINE 15 MG/1 ML • 00338-0072-25 - KETOROLAC TROMETHAMINE 30 MG/1 ML • 00409-3793-01 - KETOROLAC TROMETHAMINE (USP,FLIPTOP VIAL) 15 MG/ML • 00409-3793-25 - KETOROLAC TROMETHAMINE USP,FLIPTOP VIAL 15 MG/1 ML • 00409-3795-01 - KETOROLAC TROMETHAMINE (LATEX-FREE) 30 MG/ML |
National average reimbursement for HCPCS J1885 by major payers:
$0.66
$0.78
$0.93
$0.76
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HCPCS J1885
5 of 25 sample ratesHigher to lower in this preview
Benech Family Care LLC
$10.00Published rateKyle Owens
Lockhart Matter Dermatology PLLC
$8.23Published ratePaul Jackson
Jackson Clinic
$0.61Published rateJilu Varghese
Villagemd Of Southeast Texas, PA
$0.55Published rateShawn White
Premier Independent Physicians Group Inc
$0.49Published rate
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See a sample payer proposalHCPCS J1885 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1885 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J1885 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00338-0069-10-NDC | Moderate | KETOROLAC TROMETHAMINE 15 MG/1 ML |
| 00338-0072-25-NDC | Moderate | KETOROLAC TROMETHAMINE 30 MG/1 ML |
| 00409-3793-01-NDC | Moderate | KETOROLAC TROMETHAMINE (USP,FLIPTOP VIAL) 15 MG/ML |
| J1885-HCPCS | Low | Injection, ketorolac tromethamine, per 15 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1885. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1885 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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