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Wisconsin rates for HCPCS J0573

Bupren/Nal 3.1 To 6mg Bupren

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $7.45 / $16.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.73 / $9.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $10.42
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $9.31 / $9.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $9.31 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $10.97 / $14.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $9.31 / $9.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $85.00 / $90.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $10.17 / $13.30