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Connecticut 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
$7.91 / $11.52 / $26.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $7.91 / $7.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $10.23 / $31.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $7.91 / $8.84
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $8.76 / $8.76
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $8.76
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $10.37