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Wisconsin rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Facilitymedian $6 · 10th–90th $4$1000%20%10th90th$6Professionalmedian $4 · 10th–90th $4$100%50%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$4.37 / $6.31 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $12.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $10.00 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.37 / $7.76
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $4.27 / $4.27
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $8.51 / $8.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $4.27 / $7.94
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $6.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.17 / $5.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.75 / $12.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.75 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.75