Ketorolac injection, 15 mg at UVA Health Culpeper Medical Center. CPT J1885.
What UVA Health Culpeper Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$6.14cash price (self-pay)
$13.20list price
$0.33–$41.04range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA MEDICARE [10501] | UVACMH - Managed Medicare (various) | $0.33 |
| ANTHEM MEDICARE [10503] | UVACMH - Managed Medicare (various) | $0.33 |
| CIGNA HEALTHSPRING MEDICARE [10519] | UVACMH - Managed Medicare (vario | $0.33 |
| KAISER PERMANENTE MEDICARE [10513] | UVACMH - Managed Medicare (variou | $0.33 |
| LIFEWORKS MEDICARE [10515] | UVACMH - Managed Medicare (various) | $0.33 |
| MOLINA COMPLETE CARE MEDICARE [10517] | UVACMH - Managed Medicare (var | $0.33 |
| SENTARA MEDICARE [10506] | UVACMH - Managed Medicare (various) | $0.33 |
| UNITED HEALTHCARE MEDICARE [10507] | UVACMH - Managed Medicare (variou | $0.33 |
| VETERANS ADMINISTRATION [99910] | UVACMH - Managed Medicare (various) | $0.33 |
| HUMANA MEDICARE [10505] | UVACMH - Managed Medicare (various) | $0.33 |
| VA CCN [99926] | UVACMH - Managed Medicare (various) | $0.33 |
| MEDICARE REPLACEMENT GENERIC [10500] | UVACMH - Managed Medicare (vari | $0.33 |
| VA CCN [99927] | UVACMH - Managed Medicare (various) | $0.33 |
| VIRGINIA PREMIER MEDICARE [10508] | UVACMH - Managed Medicare (various | $0.33 |
| ANTHEM [30001] | UVACMH - Anthem Exchange | $0.40 |
| ANTHEM [30001] | UVACMH - Anthem (PPO PAR HMO) | $0.58 |
| ANTHEM CAREFIRST [30008] | UVACMH - Anthem (PPO PAR HMO) | $0.58 |
| ANTHEM UHC [30009] | UVACMH - Anthem (PPO PAR HMO) | $0.58 |
| UNITED HEALTHCARE [40032] | UVACMH - Anthem (PPO PAR HMO) | $0.58 |
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $0.98 |
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $0.98 |
| CIGNA [40005] | UVACMH - Cigna (OAP) | $9.44 |
| Cigna [40005] | Cigna 188061 Connect [4000513] | $9.44 |
| GEHA [40009] | UVACMH - United (All Payer) | $9.90 |
| United Healthcare [40032] | United Exchange Plan [4003231] | $9.90 |
| Cigna [40005] | Cigna Nalc Supplemental [4000510] | $10.67 |
| Cigna [40005] | Cigna 182223 PPO [4000520] | $10.67 |
| SENTARA [40021] | UVACMH - Optima | $11.06 |
| AETNA [40002] | UVACMH - Aetna | $11.22 |
| MULTIPLAN GENERIC [40035] | UVACMH - Misc. (MultiPlan) | $11.54 |
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