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Missouri rates for HCPCS J0574

Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $7.41 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $9.33 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.00 / $11.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $15.85 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $9.33 / $11.75