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South Carolina 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
$0.95 / $22.30 / $44.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.36 / $0.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.25 / $2.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.31 / $0.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.25 / $2.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.68