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Oregon 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
$9.31 / $9.31 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $9.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.73 / $9.31 / $11.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $8.34 / $17,728.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $7.73 / $11.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.00 / $3.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $9.77 / $11.74