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New York rates for HCPCS J0574

Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine

Facilitymedian $9 · 10th–90th $5$220%20%10th90th$9Professionalmedian $8 · 10th–90th $7$110%20%40%10th90th$8$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $8.51 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.91 / $16.98
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.62
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.32 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $8.71 / $14.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.71 / $10.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $8.71 / $8.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $4.07 / $4.07
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $10.96 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $9.33 / $13.18
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $7.08 / $8.71
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $8.71 / $8.71