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Utah rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.92 / $3,377.59 / $3,919.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $4.92 / $4.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $5.78 / $6.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $8.27 / $11.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24