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Ohio 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
$7.45 / $12.94 / $23.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $9.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.60 / $11.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.45 / $20.45 / $27.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $2.90 / $11.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $22.72 / $35.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.69 / $11.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $10.47