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Vermont 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
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.23 / $10.47