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Tennessee 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
$7.73 / $11.60 / $16.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.73 / $7.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $90.00 / $90.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $10.17 / $10.17