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Arizona rates for HCPCS J0574

Buprenorphine/Naloxone Oral Greater Than 6 Mg But Less Than Or Equal To 10 Mg Buprenorphine (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.96 / $18.62 / $27.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $7.54 / $9.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $18.27 / $39.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $7.04 / $16.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $8.28 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $5.87 / $11.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77