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New York 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
$0.25 / $0.27 / $332.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.26 / $0.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.40 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $1.84 / $3.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.84 / $2.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $1.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $1.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.40 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $1.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $1.84 / $1.84
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $1.84