Phenylep ketorolac opth soln cost in Virginia

Phenylep ketorolac opth soln · HCPCS J1097

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $126.38 – $258.48 2
TRICITIES HOSPITAL HOPEWELL not published $126.38 – $258.48 2
STONESPRINGS HOSPITAL CENTER Dulles not published $109.53 – $258.48 2
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $126.38 – $258.48 2
RESTON HOSPITAL CENTER VIENNA not published $109.53 – $258.48 2
LEWISGALE MEDICAL CENTER ROANOKE not published $292.62 – $292.62 1
LEWISGALE HOSPITAL-PULASKI PULASKI not published $258.48 – $258.48 1
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $258.48 – $258.48 1
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $258.48 – $258.48 1
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $126.38 – $258.48 2