go back

Washington, DC 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
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $93.33 / $97.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39