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Buprenorphine/Naloxone, Oral (over 3 to 6 mg)

Maine rates for HCPCS J0573

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

Rates data updated July 2026.

How much does Buprenorphine/Naloxone, Oral (over 3 to 6 mg) cost?

$7.94

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $23.44 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.94$7.94 to $7.94
FacilityA hospital or hospital-owned outpatient department$23.44$21.38 to $23.44

How much rates vary

Facilitymedian $23 · 10th to 90th $21 to $23Professionalmedian $8 · 10th to 90th $8 to $10
$1$2$5$10$20facility $23professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.94
Typical High
$7.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.94
Typical High
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$10.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$23.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.94
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$1.02
Median
$1.02
Typical High
$4.07
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.71
Typical High
$14.13

Where Maine sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 21st of 51

$7.94

HI $10.23MO $7.41

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.