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Alaska rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.80 / $2,069.80 / $5,151.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $7.89 / $9.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $11.28 / $11.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.59 / $13.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.22 / $7.25 / $11.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $10.36 / $17.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $6.36 / $8.55