go back

Montana rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Facilitymedian $5 · 10th–90th $4–$190%20%40%10th90th$5Professionalmedian $4 · 10th–90th $4–$110%50%10th90th$4$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.27 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.68
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.17 / $12.02
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.17 / $12.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $9.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $6.03 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27