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Virginia rates for HCPCS J0573

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

Facilitymedian $16 · 10th–90th $7–$520%20%10th90th$16Professionalmedian $7 · 10th–90th $7–$90%50%90th$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
$7.08 / $15.85 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.47
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.51 / $10.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.13 / $9.33
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $9.55 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.23 / $11.22