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Rhode Island 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
$30.26 / $30.26 / $30.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.73 / $7.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.17 / $10.17