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New Mexico 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
$25.25 / $25.25 / $335.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $4.00 / $4.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $3.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $4.16 / $6.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $4.00 / $4.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $6.36