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Illinois rates for HCPCS G2215

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.19 / $80.36 / $80.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.34 / $80.36 / $94.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.49 / $46.50 / $58.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00