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Maine rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.84 / $4,729.68 / $5,350.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.41 / $5.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $5.15 / $13.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.84 / $10.60 / $5,277.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.41 / $6.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $6.36