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Buprenorphine/Naloxone, Oral (up to 3 mg)

Montana rates for HCPCS J0572

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

Rates data updated July 2026.

How much does Buprenorphine/Naloxone, Oral (up to 3 mg) cost?

$3.98

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $64,565 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.98$3.89 to $6.17
FacilityA hospital or hospital-owned outpatient department$64,565$4.37 to $77,625

How much rates vary

Facilitymedian $64,565 · 10th to 90th $3 to $89,125Professionalmedian $4 · 10th to 90th $4 to $79
$1$10$100$1K$10K$100Kfacility $64,565professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$69,183.10
Typical High
$91,201.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.68
Typical High
$4.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$0.62
Typical High
$3.09
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.17

Where Montana sits

The same service costs 1.6 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 11th of 51

$3.98

HI $6.17NE $3.80

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.