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West 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
$8.69 / $9.86 / $17.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.45 / $20.45 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $6.37 / $15.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $9.77 / $9.77