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Montana 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
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $7.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.78 / $77,999.99 / $94,999.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $9.31 / $9.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $10.17 / $10.17