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Buprenorphine/Naloxone, Oral (up to 3 mg)

Wisconsin rates for HCPCS J0572

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

Rates data updated July 2026.

How much does Buprenorphine/Naloxone, Oral (up to 3 mg) cost?

$3.80

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $3.80 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $4.68 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.80$3.80 to $6.17
FacilityA hospital or hospital-owned outpatient department$4.68$3.80 to $14.45

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $89Professionalmedian $4 · 10th to 90th $4 to $7
$0.1$1.0$10.0$100.0facility $5professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$5.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$4.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.68
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$6.46
Typical High
$8.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$4.68
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$11.22
Quartz
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$2.45
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.17
Typical High
$7.41

Where Wisconsin sits

The same service costs 1.6 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $3.80 · 48th of 51
HI $6.17NE $3.80

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.