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Iowa 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
$78.56 / $113.14 / $113.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.36 / $91.93 / $95.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $46.97 / $58.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.66 / $142.66 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.67 / $81.59 / $138.69