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Kansas rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.37 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.13 / $5.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.37 / $6.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.27 / $5.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.27 / $5.50