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Missouri rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $5.61 / $3,269.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.70 / $6.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $7.21 / $15.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.98 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.24 / $4.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.24 / $4.91