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New York 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
$33.88 / $79.43 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $91.20 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.13 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $57.54
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $47.86 / $50.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $45.71 / $47.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $47.86 / $52.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $47.86