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South Dakota rates for HCPCS J0573

Bupren/Nal 3.1 To 6mg Bupren

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.91 / $9.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $14.16 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $10.97 / $12.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $7.60 / $7.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $7.48 / $7.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $10.17 / $12.07
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99