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Vermont 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
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $13.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.05 / $25.05 / $29.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $9.77 / $10.17