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Kentucky 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 / $0.26 / $0.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $1.46 / $1.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.75 / $1.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $5.39 / $55,999.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.13 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $1.03 / $1.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27