go back

South Carolina 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
$3.02 / $14.13 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $10.00 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $3.47 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.98 / $4.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.89 / $8.71
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 / $7.24