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Maine 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 / $10.90 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $10.90 / $11.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $6.36 / $11.13