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New Hampshire 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 / $7.91 / $9.52
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 / $13.17 / $26.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $4.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $9.77 / $11.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $10.14 / $14.70