go back

Idaho 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
$9.33 / $9.33 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $12.02 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.41 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.59 / $7.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $11.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.23 / $10.23