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North Carolina 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 / $4.83 / $14.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $4.00 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.36 / $6.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $90.00 / $100.00