Ketorolac injection, 15 mg at Graham Regional Medical Center. CPT J1885.
What Graham Regional Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$20.00cash price (self-pay)
$22.50list price
$6.00–$1,910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicare Advantage | $7.00 |
| Amerigroup | Children's Health Insurance Program | $7.00 |
| ChoiceCare Network | Commercial | $7.00 |
| Superior HealthPlan | Commercial | $7.00 |
| Wellpoint | Commercial | $9.00 |
| Curative | Commercial | $13.50 |
| Aetna | Commercial | $14.50 |
| Cigna | Commercial | $14.50 |
| Blue Cross Blue Shield | Blue Advantage | $15.50 |
| Blue Cross Blue Shield | Blue Essentials | $16.00 |
| Blue Cross Blue Shield | Commercial | $17.00 |
| Blue Cross Blue Shield | PPO | $17.00 |
| Three Rivers Provider Network | Commercial | $19.00 |
| Health Advantage Network | Commercial | $20.50 |
| HealthSmart Preferred Care | Commercial | $20.50 |
| United Healthcare | Commercial | $1,910 |
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