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Minnesota 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
$0.32 / $0.32 / $0.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.27 / $0.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.54 / $12.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.53