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Virginia 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
$4.00 / $8.00 / $53.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $4.00 / $4.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.72 / $7.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.12 / $4.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.64
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $6.36 / $6.36