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Tennessee rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $6.23 / $9.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.18 / $5.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.48