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California 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
$3.90 / $8.78 / $10.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.90 / $4.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.24 / $4.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $4.00 / $9.48
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2.64 / $4.68
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $4.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $7.00 / $638.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $4.00 / $8.19
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.35 / $1.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $12.32