go back

New Hampshire 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 / $4.00 / $6.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $6.66 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $6.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.21 / $8.22