| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $104.96 | $109.91 | $123.85 | |
Kaiser Permanente
| Professional | $44.50 | $48.54 | $56.63 |
Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in additi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $104.96 | $109.91 | $123.85 | |
Kaiser Permanente
| Professional | $44.50 | $48.54 | $56.63 |