go back

Nebraska 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 / $0.62 / $9.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.81 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.64 / $0.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.64 / $0.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.30