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Illinois 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
$0.26 / $0.52 / $0.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $10.77 / $31.09
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.08 / $125.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.72