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Oregon 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
$4.70 / $4.79 / $9.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $4.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $4.70 / $5.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.66 / $17,728.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $3.90 / $5.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.66 / $2.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $6.36 / $7.31