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Pennsylvania 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
$7.94 / $14.45 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $8.71 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $12.59 / $20.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.41 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $4.47 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.23 / $12.02