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Ohio 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
$7.45 / $16.57 / $23.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $9.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.60 / $11.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $13.64 / $22.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $15.15 / $23.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $10.17 / $11.19