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Utah 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
$91.93 / $91.93 / $91.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.93 / $91.93 / $91.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $46.50 / $58.13