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Missouri 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
$1.40 / $3.08 / $3.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $4.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.53 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $5.75 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $6.51 / $7.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.36 / $7.36