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Arizona rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $8.48 / $5,595.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.70 / $8.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $14.66 / $22.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.09 / $26.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.24 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $5.59 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24