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Division Filing Guidance 2025-F - Carrier Billing Codes for use by Facilities for Dispensing Opioid Antagonists

Opioid Antagonist Carrier Facility Codes *Updated 1/1/23
Carrier NameList of HCPC Codes for NaloxoneModifierOther Notes
Aetna Health, Inc. and Aetna Life Insurance CompanyJ2310, J2311, J3490 Use Revenue Code 636
Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.J3490HGInclude apropriate 11-digit NDC code and Revenue code 636 (when billing on a UB)
Boston Medical Center Health Plan, Inc. d/b/a WellSense Health PlanJ3490HGUse Revenue Code 636
Cigna Health and Life Insurance CompanyJ0571, J0572, J0573, J0574, J0575, J0592, J1230, J2310, J2311, J2315  
Fallon Community Health Plan, Inc.J2310, J2311, J3490  
Harvard Pilgrim Health Care, Inc.J0571, J0572, J0573, J0574, J0575, J2310, J2311  
Health New England, Inc.J3490HGUse Revenue Code 636
Mass General Brigham Health Plan, Inc.J3490  
Tufts Health Public Plans, Inc.J0571, J0572, J0573, J0574, J0575, J2310, J2311  
UnitedHealthcare Insurance CompanyJ2310, J2300, J2315, J3490 Use Revenue Code 636

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