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North Carolina rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $5.67 / $5,157.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $4.24 / $5.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $6.92 / $8.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $4.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $5.05 / $5.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00