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Pennsylvania rates for HCPCS J0571

Buprenorphine, oral, 1 mg

Facilitymedian $4 · 10th–90th $1–$260%10%10th90th$4Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $5.25 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.00 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $1.38 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $1.32 / $3.31
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $3.09 / $3.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.27 / $0.49