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New York rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $6.36 / $3,583.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.41 / $1,572.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $4.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.24 / $5.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $3.52 / $3.70
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.52 / $3.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $4.00 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $6.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $5.66
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.21 / $4.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.85 / $4.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $4.00 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.24 / $5.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.94
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.24 / $4.40