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Hawaii 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
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.96 / $109.91 / $123.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.50 / $48.54 / $56.63