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Wisconsin rates for HCPCS J0572

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

Facilitymedian $5 · 10th–90th $3–$850%20%10th90th$5Professionalmedian $3 · 10th–90th $3–$60%20%40%90th$3$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
$3.02 / $3.80 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.07 / $4.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.68 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $6.46 / $8.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $6.76 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.17 / $7.41