| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $87.10 | $114.82 | |
Providence
| Professional | $79.43 | $79.43 | $85.11 |
Take home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a Medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $87.10 | $114.82 | |
Providence
| Professional | $79.43 | $79.43 | $85.11 |