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Virginia rates for HCPCS J0572

Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine

Facilitymedian $5 · 10th–90th $4–$120%20%40%10th90th$5Professionalmedian $4 · 10th–90th $3–$50%50%10th90th$4$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.89
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.25 / $7.08
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.07 / $4.68
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $6.03 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.17 / $7.24