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Utah 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 / $7.73 / $7.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $7.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $5.87 / $5.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77