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Oklahoma 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
$7.54 / $7.54 / $15.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $9.02 / $14.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $9.31 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $9.94 / $11.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.69 / $5.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $9.77 / $9.77