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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 (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $12.10 / $24.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $44.38 / $146.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $11.49 / $11.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $10.93 / $100.00
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
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.62 / $11.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $9.77 / $10.38