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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $15.82 / $52.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.91 / $7.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.04 / $7.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.85 / $10.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $8.15 / $9.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $11.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $10.17 / $10.17