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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

Facilitymedian $13 · 10th–90th $6–$260%10%10th90th$13Professionalmedian $7 · 10th–90th $2–$90%50%10th90th$7$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.88 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $12.88 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.94 / $13.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.94 / $9.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.94 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $11.75 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $9.33 / $11.75