| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.28 | $78.63 | $92.10 | |
Aetna
| Professional | $66.34 | $78.63 | $95.00 | |
Anthem BCBS
| Professional | $13.43 | $19.70 | $24.62 | |
Cigna
| Professional | $46.50 | $46.50 | $58.13 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.28 | $78.63 | $92.10 | |
Aetna
| Professional | $66.34 | $78.63 | $95.00 | |
Anthem BCBS
| Professional | $13.43 | $19.70 | $24.62 | |
Cigna
| Professional | $46.50 | $46.50 | $58.13 |