go back

Iowa 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
$3.76 / $4.70 / $13.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.90 / $4.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.95 / $17.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $10.70 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $6.51 / $7.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $1.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.36 / $7.12
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.22 / $1.22