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Nationwide rates for HCPCS J0570

Buprenorphine Implant 74.2 Mg (Special Coverage Instructions Apply. See Mcm: 2049) (Reinstated 01/01/2017). Injection Penicillin G Benzathine Up To 1 200 000 Units (Special Coverage Instructions Apply. See Mcm: 2049) (Del 12/31/2010)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.55 / $1,262.25 / $1,485.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.00 / $1,232.55 / $1,262.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.75 / $1,593.38 / $3,681.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.50 / $1,262.25 / $1,410.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.21 / $1,338.88 / $1,338.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.25 / $1,262.25 / $1,670.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.66 / $1,956.60 / $1,987.30