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Nebraska rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $6.46 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.27 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $4.79 / $4.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.68 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $5.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.57 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.27 / $4.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.31 / $6.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $4.27 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.27 / $5.62