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Oregon 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
$40.11 / $40.11 / $40.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $91.94 / $95.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.29 / $32.34 / $87.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.42 / $96.54 / $6,532.10
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.24 / $41.51 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.42 / $92.16 / $6,532.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.99 / $56.24 / $2,250,000.00