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Iowa rates for HCPCS J2315

Injection Naltrexone Depot Form 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $4.61 / $15.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.61 / $3,158.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $5.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.24 / $8.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $4.49 / $5.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.24 / $6.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $6.18 / $8.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $4.70 / $6.85
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 / $4.66
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24