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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
$7.91 / $7.91 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.91 / $9.27
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $90.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $9.16 / $9.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.77 / $4.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $9.16 / $9.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $9.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $10.17 / $10.17