go back

Arizona 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
$5.03 / $9.40 / $14.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $4.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $10.21 / $22.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.93 / $8.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.19 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $6.51 / $6.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $6.36