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Virginia 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
$66.34 / $78.59 / $78.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.34 / $78.59 / $91.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $15.39 / $15.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.16 / $92.16 / $92.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.50 / $40.65 / $50.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $78.59 / $95.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,420.00 / $9,929.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,420.00 / $9,929.00 / $10,945.00