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Connecticut rates for HCPCS G2215

Take home supply of nasal naloxone; 2-pack of 4 mg per 0.1 ml nasal spray (provision of the services by a Medicare-enrolled Opioid Treatment Program); list separately in addition to code for primary procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.52 / $83.52 / $83.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.02 / $83.52 / $94.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $13.50 / $17.34