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Alaska rates for HCPCS J0572

Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $22.23 / $22.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $6.35 / $6.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $9.53 / $19.07