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Idaho rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.88 / $47.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.66 / $5.30
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.66 / $5.62 / $7.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $5.30 / $5.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $6.15 / $10.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.05