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California rates for HCPCS J2212

Injection, methylnaltrexone, 0.1 mg

Facilitymedian $2 · 10th–90th $2–$40%50%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $4.07 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.82 / $2.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.58 / $3.09
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.70 / $2.09
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.00 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $3.16 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.24 / $4.27
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $4.17