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Iowa rates for HCPCS J0573

Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine

Facilitymedian $4 · 10th–90th $4–$90%50%90th$4Professionalmedian $7 · 10th–90th $7–$110%50%90th$7$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
$2.88 / $7.59 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $7.59
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.41 / $8.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $89.13 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $10.96 / $12.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $4.47 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $10.23 / $12.88
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.98 / $3.98