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Kentucky 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 / $7.45 / $15.83
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
$8.77 / $9.15 / $9.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $7.04 / $8.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $44,449.56 / $47,999.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.44 / $50,749.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.62 / $5.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $9.77