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Pennsylvania rates for HCPCS J0574

Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine

Facilitymedian $15 · 10th–90th $8–$210%10%20%10th90th$15Professionalmedian $7 · 10th–90th $7–$90%50%90th$7$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $12.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.71 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $5.01 / $24.55
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $12.30
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.59 / $19.05
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $4.57 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $9.33 / $11.22