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Oklahoma rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.58 / $7.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $4.55 / $7.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $4.24 / $4.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $4.58 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.24 / $4.24
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 / $4.24