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Massachusetts rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $8.48 / $4,806.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.41 / $9.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $11.36 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $5.41 / $11.53
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $6.36 / $6,679.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $8.81
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $1,724.82 / $2,013.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $6.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.24 / $6.36