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New Hampshire 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
$7.91 / $7.91 / $9.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $13.17 / $26.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $10.17 / $11.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $10.14 / $14.70