go back

New York 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
$4.90 / $8.51 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.91 / $16.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $15.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.71 / $10.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $8.71 / $8.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $4.07 / $4.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $1.17 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $9.33 / $11.75
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $7.08 / $8.71
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $8.71 / $8.71