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Nebraska 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
$7.45 / $17.89 / $20.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $12.50
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 / $11.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2.39 / $2.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $4.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $9.77