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Mississippi rates for HCPCS J2315

Injection Naltrexone Depot Form 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $5.09 / $5.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.70 / $5.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $4.24 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.24 / $5.43