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Idaho rates for HCPCS J0574

Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $8.01 / $9.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $7.91 / $9.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.00 / $1,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $8.86 / $11.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $5.87 / $11.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $9.77