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Maine 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 / $21.60 / $23.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $9.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $21.60 / $23.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $23.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $9.77 / $14.18