Ketorolac injection, 15 mg at Ascension Seton Edgar B. Davis (Ascension Seton). CPT J1885.
What Ascension Seton Edgar B. Davis (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2.25cash price (self-pay)
$24.91list price
$0.46–$1.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1135_champva Rest_tx 20180301 | $0.46 |
| BCBS Bav Exchange | 4127_blue Cross Blue Shield Bav Exchange 20250101 | $0.60 |
| Aetna Sha Aisd | 4335_aetna Sha Aisd 20250101 | $0.62 |
| BCBS Hpn | 4440_blue Cross Blue Shield Hpn 20250501 | $0.62 |
| BCBS Hpn | 4497_blue Cross Blue Shield Hpn (Dell, Williamson,Hays) 202 | $0.62 |
| Aetna Aco HMO | 4489_aetna Aco HMO 20250801 | $0.64 |
| BCBS HMO Essentials | 4095_blue Cross Blue Shield HMO Essentials 20250 | $0.69 |
| Aetna Multi-Tier Whole Health Sha | 4490_aetna Multi-Tier Whole Health | $0.70 |
| BCBS PPO | 4094_blue Cross Blue Shield PPO 20250101 | $0.75 |
| Aetna HMO | 4486_aetna HMO 20250801 | $0.78 |
| Covenant Health | 4491_covenant Management Solutions-Aetna 20250801 | $0.78 |
| Aetna HMO Exchange | 1377_aetna HMO Exchange 20200101 | $1.25 |
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All common services at Ascension Seton Edgar B. Davis (Ascension Seton)