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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 (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $7.63 / $30.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $6.05 / $10.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $7.91 / $9.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $8.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $9.93 / $23.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.62 / $11.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $9.77