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Washington 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 / $11.92 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.91 / $9.27
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $90.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $8.86 / $9.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86
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
$0.12 / $1.15 / $4.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $9.77 / $9.77