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Oklahoma 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
$7.54 / $7.54 / $15.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $9.02 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $9.31 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $10.97 / $11.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $10.17 / $10.17