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California rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Facilitymedian $19 · 10th–90th $9$410%20%10th90th$19Professionalmedian $15 · 10th–90th $14$190%50%10th90th$15$0.0$0.2$2.0$20.0$200.0

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
$15.49 / $38.02 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $18.62 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $30.20
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.71 / $11.48
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.23 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $20.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $30.90 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $18.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $35.48
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.68 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $18.62 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $17.38 / $31.62