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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 (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $7.45 / $13.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $6.98 / $8.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $9.31 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $9.94 / $11.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.69 / $11.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $11.14