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Maryland 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
$7.91 / $7.91 / $7.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.91 / $10.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $8.80 / $8.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.62 / $4.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $10.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $15.52 / $15.52