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Washington rates for HCPCS J0572

Bupren/Nal Up To 3mg Bupreno

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $9.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.00 / $4.68
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $90.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $4.95 / $4.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95
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
$5.01 / $6.36 / $6.36