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South Carolina rates for HCPCS J2315

Injection Naltrexone Depot Form 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.45 / $17.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.28 / $5.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $5.20 / $9.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $5.30 / $5.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.24 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $4.90 / $10.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.16 / $6.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24