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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $10.00 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $4.57 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.57 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $9.33 / $9.33