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Idaho 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
$4.70 / $4.70 / $4.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.04 / $4.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $3.86 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.00 / $1,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $6.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.36 / $10.18