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Ohio 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
$55.43 / $55.43 / $184.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $55.43 / $92.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $16.20 / $48.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.19 / $54.26 / $60.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.18 / $54.18 / $54.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $46.50 / $58.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00