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New Mexico 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
$8.84 / $8.84 / $8.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.91 / $8.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.04 / $7.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $11.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $7.91 / $9.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.69 / $11.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77