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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $9.31 / $26.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.73 / $9.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $6.69 / $6.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $7.40 / $8.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $14.25 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $10.97 / $12.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $7.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $7.60 / $7.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $10.17 / $12.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.99 / $3.99