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Illinois rates for HCPCS J0572

Bupren/Nal Up To 3mg Bupreno

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $5.69 / $12.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $4.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.48 / $22.57 / $82.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $9.03 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $6.36 / $6.97