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Tennessee 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
$3.90 / $5.85 / $8.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.90 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $90.00 / $90.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.36 / $6.36