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South Dakota rates for HCPCS J0573

Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine

Facilitymedian $9 · 10th–90th $4–$230%20%40%10th90th$9Professionalmedian $7 · 10th–90th $7–$110%50%10th90th$7$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $19.05 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.96 / $12.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.23 / $11.75
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98