go back

Missouri 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
$7.08 / $7.08 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $9.33 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.96 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $15.14 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.23 / $11.22