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Michigan rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.37 / $3,816.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.37 / $5.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $9.44 / $17.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.72 / $4.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.24 / $4.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $6.36 / $13.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.37 / $5.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.50