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Maine 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
$0.74 / $0.74 / $0.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.47