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Illinois 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
$7.41 / $15.49 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.37 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $44.67 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $11.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.96 / $13.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $14.45 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.33 / $10.72