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Massachusetts 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
$4.00 / $4.00 / $9.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $11.63 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.49 / $6.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.70 / $12.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $8.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.36 / $8.52
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $4.34 / $87.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.36 / $8.52