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Minnesota 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
$113.14 / $113.14 / $113.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.56 / $95.00 / $113.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.40 / $92.16 / $92.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.16 / $92.16 / $92.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.27 / $201.86 / $485.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.97 / $58.13 / $74.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.08 / $184.21 / $382.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $46.50 / $67.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.26 / $78.56 / $137.88