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Tennessee 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
$7.73 / $11.60 / $16.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.73 / $7.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $90.00 / $90.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.69 / $11.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $9.77