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Wisconsin rates for HCPCS J0572

Bupren/Nal Up To 3mg Bupreno

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $3.76 / $35.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.90 / $4.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $6.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $4.70 / $4.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $5.64 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $6.51 / $8.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $4.70 / $4.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $85.00 / $90.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $6.36 / $8.27