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Wisconsin rates for HCPCS J0573

Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine

Facilitymedian $7 · 10th–90th $7–$850%50%10th90th$7Professionalmedian $7 · 10th–90th $7–$110%50%90th$7$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $7.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.13 / $9.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $9.33 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $10.96 / $14.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $10.72 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.23 / $12.30