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Minnesota 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
$4.70 / $4.70 / $4.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.90 / $4.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.70 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $6.51 / $8.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $11.53