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Hawaii rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $7.48 / $7.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $7.48 / $7.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.02 / $6.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $5.09 / $5.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.95 / $6.36
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $4.05 / $4.99