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Michigan 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 / $23.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $17.79 / $33.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $7.17 / $7.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.49 / $1.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $9.11 / $20.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $8.86 / $11.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $10.17 / $10.79