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Virginia rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $9.61 / $5,868.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.45 / $8.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $8.94 / $14.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $6.37 / $9.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $5.09 / $5.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $4.61 / $5.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $4.75 / $5.50
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.75 / $5.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.24 / $5.27