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South Carolina 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
$7.08 / $27.54 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $11.22 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.94 / $9.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $14.13 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $1.12 / $10.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.23 / $11.22