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North Carolina 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 / $7.94 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $9.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.94 / $11.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $5.62 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.23 / $11.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00