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California rates for HCPCS J2315

Injection Naltrexone Depot Form 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $8.73 / $6,074.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.28 / $9.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $6.77 / $15.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $9.32
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $5.07 / $9.48
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $11.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $5.09 / $9.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.24 / $5.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $9.17
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $5.80 / $5.80
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.66 / $7.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $8.74