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Ohio rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $8.51 / $3,235.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.28 / $9.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $7.41 / $12.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $7.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $7.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $6.92
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $4.00 / $6.46
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $6.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $5.30 / $6.14
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 / $4.74