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Maryland 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
$7.91 / $7.91 / $7.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.91 / $10.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.04 / $7.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $9.15 / $9.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $10.17 / $10.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.91