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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
$7.41 / $14.79 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $12.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $12.59 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $10.96 / $11.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.23 / $11.22