| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $72.44 | $114.82 | |
Aetna
| Professional | $64.57 | $83.18 | $114.82 | |
Cigna
| Professional | $79.43 | $79.43 | $100.00 | |
Medica
| Facility | $87.10 | $89.13 | $147.91 |
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
| Facility | $64.57 | $72.44 | $114.82 | |
Aetna
| Professional | $64.57 | $83.18 | $114.82 | |
Cigna
| Professional | $79.43 | $79.43 | $100.00 | |
Medica
| Facility | $87.10 | $89.13 | $147.91 |