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Oregon rates for HCPCS J2315

Injection Naltrexone Depot Form 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $7.38 / $8.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.28 / $6.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.84 / $8.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $9.24 / $11.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $5.87 / $9.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.88 / $5.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $5.30 / $12.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $5.84 / $8.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $4.59 / $5.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $6.36 / $14.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.69 / $8.69 / $10.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24