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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
$7.63 / $7.63 / $30.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $11.08 / $18.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $7.91 / $9.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $8.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $14.00 / $17.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $10.17 / $10.17