go back

North Dakota 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
$3.76 / $3.76 / $8.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.70 / $4.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $4.12 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $6.51 / $7.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.36 / $7.12