go back

New York 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
$0.33 / $7.45 / $10.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $7.73 / $7.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $8.84 / $15.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.42 / $6.42 / $7.06
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $6.42 / $6.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.39 / $8.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $7.48 / $12.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.48 / $9.24
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $7.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $5.01 / $7.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.39 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $10.17 / $13.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $7.48 / $7.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $7.48 / $7.48