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Virginia 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
$7.91 / $8.26 / $17.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.91 / $7.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $8.80 / $10.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $8.15 / $9.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $11.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $4.62 / $5.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $9.77