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Buprenorphine/Naloxone, Oral (over 3 to 6 mg)

New Mexico rates for HCPCS J0573

Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine

Rates data updated July 2026.

How much does Buprenorphine/Naloxone, Oral (over 3 to 6 mg) cost?

$8.91

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $8.91 for this service. The price depends on where it is billed: about $8.91 from a physician practice, and about $7.94 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.91$7.76 to $10.23
FacilityA hospital or hospital-owned outpatient department$7.94$7.94 to $15.49

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $18Professionalmedian $9 · 10th to 90th $8 to $10
$5$10facility $8professional $9

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.94
Typical High
$8.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$60.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23

Where New Mexico sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 3rd of 51

$8.91

HI $10.23MO $7.41

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.