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South Dakota rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Facilitymedian $4 · 10th–90th $4–$7,0790%50%10th90th$4Professionalmedian $5 · 10th–90th $4–$2,0420%50%10th90th$5$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $8.51 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.68 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $6.03 / $11.75
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.27 / $4.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.27 / $4.90
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27