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Indiana 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
$5.14 / $7.45 / $33.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $8.44 / $16.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.44 / $11.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.26 / $1.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.44 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.69 / $11.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $9.77 / $10.47