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Minnesota 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 / $5,597.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.58 / $1,584.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $4.68 / $8.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.24 / $4.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.77 / $13.38 / $16.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.93 / $5.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $12.21 / $15.32
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $5.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $4.24 / $10.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $6.50
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 / $5.85