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California 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
$7.73 / $18.62 / $24.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.73 / $7.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $8.39 / $9.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.91 / $13.97
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.57
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.18 / $9.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.36 / $2.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $18.00 / $638.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $7.91 / $9.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $7.91 / $16.41
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.65 / $3.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.69 / $11.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $20.10