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Wyoming rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.62 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $6.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27