go back

Indiana rates for HCPCS J0572

Bupren/Nal Up To 3mg Bupreno

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $3.76 / $16.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $4.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $4.22 / $8.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.22 / $5.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.85 / $1.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.98 / $1.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $6.36 / $6.49