go back

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

Missouri 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?

$7.41

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $7.41 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 5 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$7.41$7.41 to $8.13
FacilityA hospital or hospital-owned outpatient department$7.41$7.41 to $13.49

How much rates vary

Facilitymedian $7 · 10th to 90th $7 to $59Professionalmedian $7 · 10th to 90th $7 to $10
$1$2$5$10$20$50$100facility $7professional $7

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
$7.41
Median
$7.41
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.96
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$13.49
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$10.23
Typical High
$10.23

Where Missouri 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.

Missouri· 51st of 51

$7.41

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.