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Massachusetts rates for HCPCS J0572

Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine

Facilitymedian $5 · 10th–90th $4–$120%20%40%10th90th$5Professionalmedian $4 · 10th–90th $3–$60%50%10th90th$4$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $6.31 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $3.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $10.96 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $5.25 / $6.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.03
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.79 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.61
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $10.96 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $5.25 / $6.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $7.24 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $6.17 / $7.24