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Connecticut rates for HCPCS J2315

Injection Naltrexone Depot Form 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $8.02 / $3,814.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $4.41 / $4.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $6.45 / $13.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.59 / $5.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.24 / $4.84