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New York 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
$3.31 / $4.37 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.80 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.47 / $8.51
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.63
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $8.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.90 / $6.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $4.90 / $4.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.72 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $6.17 / $7.41
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $4.07 / $4.90
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $4.90 / $4.90