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Buprenorphine/Naloxone, Oral (over 3 to 6 mg)

Wisconsin rates for HCPCS J0573

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

Rates data updated July 2026.

How much does Buprenorphine/Naloxone, Oral (over 3 to 6 mg) cost?

$7.41

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $9.33 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.41$7.41 to $10.23
FacilityA hospital or hospital-owned outpatient department$9.33$7.41 to $16.60

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $89Professionalmedian $7 · 10th to 90th $7 to $11
$0.1$1$10$100facility $9professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$16.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$9.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$10.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$8.13
Typical High
$9.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$10.96
Typical High
$14.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$8.13
Typical High
$9.33
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.62
Typical High
$8.71
Quartz
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1.02
Median
$4.07
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.23
Typical High
$12.30

Where Wisconsin sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 46th of 51

$7.41

HI $10.23MO $7.41

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.