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New York rates for HCPCS J0573

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

Facilitymedian $7 · 10th–90th $3$190%20%10th90th$7Professionalmedian $8 · 10th–90th $7$110%20%40%10th90th$8$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $7.59 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.91 / $16.98
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.08
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.32 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $12.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $8.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $7.41
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $7.41 / $7.41
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $10.72 / $12.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $10.23 / $12.02
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.01 / $7.41
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $7.41 / $7.41