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Maine 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
$21.38 / $23.44 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.94 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $23.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.23 / $14.79