go back

Georgia 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
$92.15 / $92.15 / $92.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.02 / $92.00 / $92.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $15.77 / $15.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.17 / $50.54 / $72.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $46.50 / $58.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $166.00 / $257.00