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Missouri rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Facilitymedian $5 · 10th–90th $4–$1,8200%20%40%10th90th$5Professionalmedian $4 · 10th–90th $4–$80%50%10th90th$4$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.37 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.27 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.57 / $14.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.41 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.01 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.27 / $4.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.01 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.27 / $5.25