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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 October 2026.

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

$5.89

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $5.89 for this service. The price depends on where it is billed: about $5.89 from a physician practice, and about $4.68 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.89$3.80 to $6.61
FacilityA hospital or hospital-owned outpatient department$4.68$3.80 to $8.32

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $8Professionalmedian $6 · 10th to 90th $4 to $9
$1$2$5$10$20facility $5professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.80
Median
$3.80
Typical High
$8.32
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$3.80
Typical High
$23.99
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.86
Median
$1.86
Typical High
$12.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.76
Median
$0.76
Typical High
$4.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.56
Median
$0.56
Typical High
$3.63
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.38
Median
$0.38
Typical High
$2.40
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
DeanCare
Setting
Facility
Modifier
None
Typical Low
$3.80
Median
$4.68
Typical High
$4.68
Medica
Setting
Facility
Modifier
None
Typical Low
$3.80
Median
$4.68
Typical High
$13.49
Medica
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$6.46
Typical High
$8.91
Network Health
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Prevea360
Setting
Facility
Modifier
None
Typical Low
$3.80
Median
$4.68
Typical High
$4.68
Quartz
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$8.32
Typical High
$11.22
United
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$5.89
Typical High
$7.94

Where Wisconsin sits

The same service costs 5.9 times more in Hawaii than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 8th of 51

$5.89

HI $6.61AR $1.12

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.