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Texas 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
$7.45 / $9.16 / $17.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.63 / $8.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $12.98 / $25.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $8.43 / $8.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $7.91 / $9.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $7.91 / $9.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $7.91 / $9.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $7.91 / $9.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.69 / $11.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $9.77 / $9.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $10.68