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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 (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $7.45 / $22.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $7.73 / $7.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $8.84 / $15.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $5.16 / $5.68
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.16 / $5.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.39 / $8.39
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $8.76 / $15.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.76 / $10.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $7.08 / $8.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $4.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.39 / $597.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $11.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $10.76
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $8.75 / $8.75
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $8.75 / $8.75