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North Carolina 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
$2.43 / $7.91 / $22.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.91 / $7.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $7.91 / $8.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $8.02 / $8.02
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 / $9.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $90.00 / $100.00