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Washington 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
$7.08 / $9.55 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.47 / $50.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.23 / $10.23