Ketorolac injection, 15 mg at Lewisgale Medical Center. CPT J1885.
What Lewisgale Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$211cash price (self-pay)
$212list price
$0.29–$275range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriAtlantic | TRICR | $0.29 |
| Health Net | TRICR | $0.31 |
| Humana Military | TRCR | $0.33 |
| United | AllPayerAppendix | $0.99 |
| Cigna | NPR | $36.89 |
| Virginia Health Network | ULTRA | $74.20 |
| United | OptionsPPO | $77.38 |
| Cigna | HMO | $85.01 |
| Cigna | PPO | $93.28 |
| United | GlobalBenefitPlan | $95.40 |
| Naphcare | Federal | $106 |
| Greenvbrier Sporting Club | COMM | $127 |
| Graham-White Manufacturing | COMM | $148 |
| Richfield Nursing Center | COMM | $148 |
| Virginia Health Network | COMM | $151 |
| Virginia Health Network | WC | $151 |
| CorVel | WorkersComp | $153 |
| Community Care Network | COMM | $159 |
| Richfield Retirement Community | COMM | $159 |
| CSX Hotels | Product | $170 |
| OccuNet Workers Comp | WorkersComp | $170 |
| One Health Plan | POS | $170 |
| One Health Plan | PPO | $170 |
| Patients Choice | COMM | $187 |
| 4Most | COMM | $191 |
| Alleghany Highland Community | COMM | $191 |
| American Postal Workers Union | COMM | $191 |
| C&O Employees Hospital Assn | COMM | $191 |
| Multiplan | PHCS | $191 |
| Phcs | Comm | $191 |
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