go back

North Dakota rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $5,082.38 / $5,597.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.70 / $1,584.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $4.62 / $4.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.62 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.24 / $5.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $4.24 / $7.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.24 / $4.59
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 / $4.75