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Oklahoma 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
$94.42 / $94.42 / $94.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.29 / $94.42 / $94.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.32 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $46.50 / $58.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.13 / $94.42 / $100.00