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Illinois rates for HCPCS J0573

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

Facilitymedian $15 · 10th–90th $7–$280%20%10th90th$15Professionalmedian $7 · 10th–90th $7–$100%50%90th$7$0.1$0.5$2.0$10.0$50.0$200.0

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
$7.41 / $15.49 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $42.66 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $11.48
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.32 / $10.72
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $11.22 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.23 / $11.22