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Wyoming 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
$7.45 / $7.45 / $7.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $9.77 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.77 / $9.77