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Massachusetts 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
$6.18 / $7.91 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $20.80 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.92 / $9.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.48 / $10.86 / $24.04
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $15.82
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $4.25 / $4.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $13.10
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $8.15 / $65.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $11.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $13.10