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West Virginia rates for HCPCS J0572

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $4.94 / $9.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,999.30 / $69,999.30 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.36 / $6.36