go back

California rates for HCPCS J0571

Buprenorphine/Naloxone Oral Less Than Or Equal To 3 Mg Buprenorphine (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.66 / $33.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.27 / $0.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.30 / $0.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.06
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.32 / $0.53
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $1.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $4.16
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.67