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Massachusetts rates for HCPCS J0573

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

Facilitymedian $10 · 10th–90th $7–$200%20%10th90th$10Professionalmedian $7 · 10th–90th $7–$100%50%90th$7$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$7.08 / $12.30 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $19.50 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $8.71 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $11.75
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $2,951.21 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $13.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $19.50 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $8.71 / $10.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $11.22 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $9.55 / $11.22