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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $12.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.77 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $9.33 / $9.33