go back

South Carolina 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
$74.56 / $74.56 / $74.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.56 / $74.56 / $119.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $40.15 / $40.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $46.50 / $58.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.56 / $78.29 / $119.54