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Kentucky 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 / $3.76 / $7.99
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
$4.43 / $4.61 / $4.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.52 / $4.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $44,449.56 / $47,999.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.98 / $50,749.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.36 / $6.36