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North Dakota 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 / $16.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $9.31 / $9.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $8.15 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $10.97 / $12.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $10.17 / $14.00