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Illinois rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $7.42 / $4,139.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $19.82 / $72.48
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.75 / $8.27
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $9.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.65