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Wisconsin rates for HCPCS J0574

Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine

Facilitymedian $9 · 10th–90th $7–$850%20%10th90th$9Professionalmedian $7 · 10th–90th $7–$100%50%90th$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 / $7.41 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.13 / $9.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $9.33 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $10.00 / $12.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $2,754.23
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $10.96 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.33 / $11.75