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Nebraska 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 / $17.89 / $20.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $12.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $9.31 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $10.97 / $11.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $7.60 / $7.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $7.60 / $7.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.17 / $10.17