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Indiana 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 / $7.45 / $33.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $8.44 / $16.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.44 / $11.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.67 / $2.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.93 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $10.17 / $11.29