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Indiana rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $9.89 / $7,618.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.28 / $4.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $8.48 / $11.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.24 / $6.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $6.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $4.24 / $11.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.27