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South Carolina 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
$7.08 / $27.54 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $11.48 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $6.17 / $10.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.94 / $9.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.47 / $28.84
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