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Maryland 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
Professional
Modifier
Low / Median / High Price
$66.18 / $78.59 / $98.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.16 / $92.16 / $92.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.56 / $40.65 / $60.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $15.39 / $15.39